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PERMFILE72617
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PERMFILE72617
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Entry Properties
Last modified
8/24/2016 11:22:09 PM
Creation date
11/21/2007 12:21:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004045
IBM Index Class Name
Permit File
Doc Date
2/7/2005
Doc Name
110c New Appl
From
Thomas H. Smith
To
DMG
Media Type
D
Archive
No
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Certification <br />-6- <br />As an authorized restive of the appliceflt, I hereby certify Oral the operation desmbed has met the »>i~ req~rireaseats <br />of the following tetras and oonditic®s: <br />A11 necessary ~v~ from kcal government have been applied fa (Section3432.5-i i0(1)(a)(VIlI). <br />2. To the bestofmyknowkedge,ausigoificeffi,valaableandpetmenentman-r,~adeshtlcdue(s)inexist~ceattheti~ <br />this appfiwtion is filed, and looted within 200 feet oftiu proposed afI'octed area have been identified in this application <br />(Section 34-32S-I 15(4xe), C.R.S.). (NOTE: For 110 opetati~ls, the ag'ecbed area includes aD rands ,delineated by the <br />3. l3o mining opet~ion wili be located on ~ where ouch operations are prohibited by law (Section <br />3432.5-115(4xf), C1tS.). <br />4. As the appliixrit/opeaatar, I donut have any r»ming/expleaation operatioaa in the State of Colorado currently in <br />violation of the puovisions of the Colorado Land Reclamation Act for the Extraction of Caashiictiaa Materials <br />(Section 3432.5-120, C12.S.). <br />5. I rmderstaod that statemeots in the application are being made under penahy of perjury aad that false statements <br />made herein ate pmishable as a ~ 1 rnisdenseanor parsi>aot in Section 18.8-503, C.R.S. 1984. <br />This fonK has bees appraved lry the>'Khsad Laad.8ealaasation Board pmsaaet to secalon 3¢32~IIgG1ZS, of the <br />Colorado Land Badaesadaa for theFlvaeflors of Coasbudioa llfaowiais .lay aBoafio>, or modijlca6'aa ofdbic fora+ <br />skaR rrsa~ hs sovidlug auypesasitissued ou the altered or modl~dfares aed sabjed the ope~nwr m cease and desist <br />orders and civil peealties for operating without a permit ptusuaut m section 3~t-32-I23, C.RS. <br />signed and datedthis // M day of J`,c?4/uA~2y .Z b O 5 <br />Til~.t+c // ~s~.~~1t <br />Applicatrt/Operator <br />Signed: ~=%'~~p~j "u' <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secaetazy or Equivalent <br />Title: <br />state of _ /Y~,sS't~ ~ ,-~ <br />Town/City/County Clerk <br />/~ > ss. <br />County of J ~~ J C~~~ 1 <br />The foregoing instsvment was acknowledged before me this ~~ day of ~_ . Q -~, by <br />l wt4 4 ~ SN//i~~ s ^,~ fs~ <br />a ~.~+ <br />Notary I'y Jic <br />My Commission g~ires• / ~ ©~ <br />~o~?~Y.?o6~ ; BO RYAN BROWN <br />SIGNATURES MUST BE IN BLUE IlKI~. r Notary'., ,_ Jackson County <br />!d:\mm\share\vsfaan\Caosnnctlm110 (o5rz62004) ~:, Seal.,o~a My Commission Expires <br />~'Pp,(~~~~5~` January 5, 2008 <br />
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