Laserfiche WebLink
<br />..' •` <br />-a- <br />ss <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described herein has met the minimum requirements of the following terms and conditions: <br />1. This mining operation will not adversely affect the stability of any <br />significant, valuable and permanent man-made structure(s) located within <br />two hundred (200) feet of the affected lands. However, where there is an agreement <br />between the applicant/operator and the persons having an interest 1n the structure <br />that damage to the structure is to be compensated for by the applicant/operator <br />(C.R.S. 34-32-115(4)(d)), then mining may occur within 200 feet. Proof of an <br />agre~enent must be submitted to the Division prior to the decision date. <br />2. No mining operation will be located on lands where such operations are <br />prohibited by law (C.R.S. 342-115(4)(f)); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in <br />this State of Colorado a rrently in violation of the provisions of the Mined Land <br />Reclamation Act (C.R.S. 34-32-120) as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed anti dated this _~ day of e! UG G~ //9/ <br />Appli n /Operator <br />ey : ~~ <br />Ti e: rr~d.~. <br />State of (,' V ~ ) <br />- ) <br />County of OU1 V ) <br />The foregoing instrvr~ent was <br />by ~~p) ~ ~'0 vd' P /' <br /> <br />If Corporation Attest (Seal) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />acknnnowl edged before me this 1.~~ day of ~,(~, <br />as II~PSd~,pn~_ of C~a~1~r <br />Notary Public <br />My Commission expires: ~ IJ~e U 14a <br />2823E (03/91 ) <br />