Laserfiche WebLink
-6- <br />Certificafion: <br />As an authorized representative of the applicant, I hereby certify that the operation described bas met the minimum requirements <br />of the following terms and conditions: <br />All necessary approvals from local government have been applied for (Section 34-32.5-110(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made shucture(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 34-32.5-115(4)(e), C.RS.). (NOTE: For 110 operations, the affected area includes all lands delineated by the <br />permit boundary.) <br />3. No mining operation will be located on lands where such operations are prohibited by law (Section 3432.5-115(4)(1), <br />C.RS.). <br />4. As the applicant/operator, I do not have any mining/prospecting 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 34- <br />32.5-120, C.RS.). <br />5. I understand that statements in the application. aze being made under penalty of perjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. 1984. <br />Signed and dated this ~!> day of ~e In ~ c 3 <br />Troy Crane County Commissiorer <br />Applicant/Operator <br />Signed: }~~d~im <br />(( <br />Title: A.zc, Crn,r.ty Corrun; ssioner District #3 <br />State of Colorado ~ <br />ss. <br />County of Baca ) <br />If Corporation Attest (Seal) <br />Signed: ~\ ~..1) ... (~,N.~,nr~,. . <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The f regoing instrument was acknowledged before me this ~ day of ~~ , by <br />as ~~//~~,rrz ~ of <br />~C~ <br />No Public <br />My Commission expires; ~ ~~ ~ ~CO <br />SIGNATURES MUST BE IN BLUE INK <br />M~mmlghare\vsrocma\Con9mtlimllo (10/15/2001) <br />