PERMFILE52653

• Permit No: M1999034
• IBM Index Class Name: Permit File
• Doc Date: 8/24/1999
• Doc Name: PN M-99-034 COOLEY RESERVOIR FULTON WILDLIFE AREA PIT REVISED APPLICATION AND EXHIBIT BOOKLETS
• From: ADCO CONSULTING
• To: DMG
• Media Type: D
• Archive: No

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certification:
As an authorized representative of the applicant, I hereby certify that the operation
~escribed has met the minimum requirements of the following terms and conditions:
1. To the best of my knowledge, all significant, valuable and permanent man-made
structure(s) in existence at the time this application is filed, and located within 200
' feet of the proposed affected area have been identified in this application (Section 34-
32.5-115 (4)(e), C.R.S.).
2. No mining operation will be located on lands where such operations are prohibited by
' law (Section 34-32.5-115 (4)(f), C.R.S.;
3. As the applicant/operator, I do not have any extraction/exploration operations in the
State of Colorado currently in violation of the provisions of the Colorado Land
' Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.)
as determined through a Board finding.
4. I understand that statements in the application are being made under penalty of
' perjury and that false statements made herein are punishable as a Class 1 misdemeanor
pursuant to Section 18-8-503, C.R.S.
~igned and dated this ~ day of ~ Q~.._ f 4 4 4
CAMAS Colorado, Inc. an Indiana Corporation If Corporation Attest (Seal)
Applicant/ erator or Company Name
,~
~igaed: /7,~ Signed: ~
~`1~~f~' /H/,u~ Corporate Secretary or Equivalent
ltle: Vice President/C~neral Mana4er Town/City/County Clerk
State of Colorado )
ss
ounty of Jefferson )
~'he foregoing instrument was acknowledged before me this ~ day of Qftc/(J /999 ,
y Richard hteraens as vice Pres./:general Mqr. orado, Inc.
of CAMAS C
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' Notary Public
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