Laserfiche WebLink
AILISOn GRAVEL RIT <br />- 2 - <br />i Certification: <br />As an authorized representative of the applicant, I hereby certify that [he operation described has met the minimum <br />requirements of the following terms and conditions: <br />I . 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 area have been identified in this application <br />(Section 34-32.5-I IS(4)(e), C.R.S.). <br />^ 2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5- 115(4)(1), C.R.S.; <br />3. As the appticant/operator, 1 do no[ 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 finding. <br />4. 1 understand that statements in [he application aze being made under penalty of perjury and that false statements <br />' made herein are punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 22 day of August 'L000 <br />' Tim SheridanSimla Road and Bridge Foreman Elbert ~oCµorporationAttest(Seal) <br />ApplicanUOperator or Company Name ~t, <br />' `sx`~s ~~ ti. <br />Signed:~rC~~v ~r~i" i~/lt~ ~ ~` ~~ : r~n~ `~ <br />7~ - :V ~_ <br />' Title: <br />S~iml.a Road And Fridge Foreman <br />' State of folorado ) <br />' ) ss <br />County of Elbert ) <br />l'he foregoing instrument was acknowledged before me this 24 <br />' by TIM SHERIDAN as FOREMAN <br />LI <br /> <br />1 <br />.~ <br />P <br />ti• ~3 ,: <br />day of <br />Clerk <br />AUGUST 2000 <br />STPD.A ROAD d BRIDGE~ELBERT CTY.'i <br />of <br />KIM GABARDI -~ ;, ; ~ //C( ~~'Ct (`/ <br />NOTARY PUBLIC Notary Public V <br />STATE OF COLORADO <br />My Comntissian Expires April 21, 2004 <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE [NK <br />N UIIt1\SIfARFVSFORMS12923C012.MP O'/10/99 <br />' P0.W 1/If101-]ltLUl <br />