Laserfiche WebLink
I~s <br />-~- <br />Certification: <br />As an authorized representative of the applicant, l hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. 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 34-32.5-115(4)(e), C.RS.). <br />2. No mining operation will be located on lands where such operations are pro)u'bi~ by law (Section <br />34-32.5-115(4)(f), C.RS.; <br />3. As the applicandoperator, I do not have a~ extraction/exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclarnation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.RS.) as determined through a Board finding. <br />4. I undeastand that statements in the applicati~ are being made under penalty of peajury and that false :statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, CRS_ <br />_~ <br />Signed and dated this ~ ~ ~ / day of ~ Gam. 2 0 0 3 + <br />`~ ; O ? <br />.> .. ^ e <br />Lafarge ;hest, Inc. <br />Applicant/ or any Name <br />Signed: <br />Title: VP/Gi4 Aggregates <br />State of Colorado ) <br />ss <br />County of Denver ) <br />If Corporation Attest (Seal) =-' <br />::., , <br />Signed: '' ~ _ <br />~~rj/' _ C orate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrmnent was acknowledged before me this ~0~ day of ~C' .r _, ~, <br />by 1 cYtil C')nl hes~e r as U P6YYl rP~ ~ of 1 r(j P ~~~_ <br />~..,:. <br />a ~' ~ - ~~ Notary Public <br />_ _. :, ~ :`' - My Co>mmssion expires: <br />SIGNATURES LIUST BE IiY BLUE INI~ <br />m:~~~~~ i~zm~ t~onsrzao» <br />