Laserfiche WebLink
<br />-~- <br />Certification: <br /> <br />Ae en authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the beet of mY knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(4)(f), C.R.S.; <br />3. Ae the applicant/operator, I do not have any extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the 8xtraction of Construction Materials (Section 34-32.5-120, C.R.S.) <br />ae determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable ae a Claee 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />fy, _ <br />Signed and dated this ! ~ day of ,~i.~ /ll. , 14 ry~ . <br />L.G. Everist, Inch <br />App~l{ic/ant rotor ~ //,///~ f <br />greeds / / irz ~!G f~i~iy ~/ <br />If Corporation~Atte~t (Seal) <br />Signed: .C.cf _""" _ """ `"" % ~LdJ"`„ <br />Corporate Secretary or 8quivalent <br />Town/city/County Clerk <br />State of ~.. ~~\O~ ~ i~,~ ) <br />ee <br />County of ~~~yv~C ) <br />The foregoing iaatruateat ras acknowledged before ate thin LZ day of _, _1,5~, <br />~_ (~ ~ ~ <br />by \ ~`r`~n ~ \~ 0 01 ~ ae ~. y`. S~TM ~~Y • of ~-, G - ~~ ~(~ ~ ~ <br />"V ~/\l./i~~. . <br />~ti_ ~ - <br />~_ `. <br />-' ~~~~ <br />P PubY;:.c '. <br />My Commie alS"expires: ~9'-~O~j-~~.,. <br />ot/oz/vc zsztt+co.tu <br />