PERMFILE70015

• Permit No: M1995005
• IBM Index Class Name: Permit File
• Doc Date: 2/6/1995
• Doc Name: TRANSMITTAL
• From: MOUNTAIN REGION CORP
• To: DMG
• Media Type: D
• Archive: No

RECEIVED
- e - FEB 0 6 1995
Certification:
described hasl met the rminimumt requirements pofl thenfollowinq bterms and canditione~~~S~Ve00gy
1. This mining operation will not adversely affect the stability of any significant,
valuable and permaneaC man-made structure(s) located within two hundred (200) feet of
the affected lands. (However, where there is an agreement between the
applicant/operator and the persons having an interest in the structure that damage to
the structure is to be compensated for by the applicant/operator (Section
834-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet.
Proof of an agreement must be submitted to the Office prior to the decision date.)
2. xo mining operation will be located on lands where such operations are prohibited
by law (Section 34-32-115 (4)(f7, C.R.S. 1984, as amended);
3. As the applicant/operator, I do not have any mining/prospecting operations in
this state of Colorado currently in violation of the provisions of the Mined Land
Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through a
Boazd finding-
4. I understand that statements in the application are being made under penalty of
perjury and that false statements made herein aze punishable as a Clasa 1 misdemeanor
pursuant to Section 18-8-503, C.R.S 1984, as amended.
Signed and dated this -30 day of January 1995
Applicant/Operato If Corpozation Attest (Seal) ••
By: Sandra R. DuCray
Title: President
State of CD )
sa
County .of h76sR )
Co~rpSOr~atse~e etasy of Equivalent
Town/City/County Clerk L
The foregoing instr+.mient was ac)oaowledged before me this _3p,t~ay of Ta„„arv i oob
by Sandra R. DuCra as
.,
,. _
.~
President
of Mountain Region Corp.
Notary Public
My Commission expires: 6/28/96 _
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