Laserfiche WebLink
<br />-~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected azea have been identified in [his application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2. No mining operafion will be located on lands where such operations aze prohibited by law (Section <br />34-32.5-115(4)(fl, C.R.S.; <br />3. As the applicantloperator, I do not have any extraction exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Board fording. <br />4. I understand that statements in the application aze being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 2S ~ day of /j/~ARL~ 2 OOZ <br />EPHEMERAL RESOURCES, LLC. If Corporation Attest (Seal) <br />ApplicanUOp~~erator or Company Name / <br />Signed:i~f~i'~ i~~~~c~%~~~igned: <br />HAROLD F. ELAM MARK A. GARDNER <br />Title: MANAGERS <br />State of COLORADO ) <br />ss <br />County of IAESA ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 2~ '-" day of Ml~tc pl , 2002 , <br />by HAROLD F. ELAM AND as MANAGERS of EPHEMERAL RESOURCES, LLC. <br />MARK A. GARDENER <br />/ ~ ~ ~~ <br />Notary Public <br />~-~-~~ <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE INK <br />M:NIQ~BC/(.1MINPORM5~2823C012APP 10/1'1/01 <br />...;- ~ , . <br />f :. ~ - <br />~%~` ~r <br />=y ~ ~ ~ <br />„4 ~ <br />±n. ; . <br />