Laserfiche WebLink
of , J. <br />f <br />y' <br />~P~alti CXb$on: <br />~ As an authorized xepresehtatiro~`i5f the a; <br />4 has met the minimum requitements of ttie <br />1. This mining operation will.i <br />valuable and permanent man-made s <br />affected lands. (AOwevex, where th <br />persons having an interest in the s <br />f9r by the applicantloperator (Sect <br />may accux within 200 feet. Proof <br />the decision date.) <br />2. Np mirsi,ng operatirnn will be 1 <br />(Section 34-32-115(4)(f), C.R.S. <br />~. <br />Y <br />application.are being made under penalty of perjury <br />ase punishable as a Class 1 misdemeanor pursuant to <br />'t~ <br />~. If Corporation Attest (CorporatelCounty Seal) <br />By: <br /> <br />- 7 <br />I hereby certify that the operation described <br />teems and conditions: <br />adversely .affect the stability of any significant, <br />:tnre(s) located within two hundred (200) feet of the <br />is an agreement between the applicant/operator and the <br />:tore that damage to the structure is to be compensated <br />834-32-115(4)(d), C.R.S. 1984, as amended), then mining <br />an agreement must be submitted to the Office prior to <br />i on lands where such operations are prohibited by law <br />as amended); <br />3. As the applicantloperator, I do n~t have any mininglprospecting operations in this state <br />of Colorado currently iil.vioiation of the provisions of the Mined Land Reclamation Act <br />(Section 34-32-120, C.R.S,~1984, as mended) as determined through a Board finding. <br />9. I understand that statements in <br />and that. false"statements made hzz <br />Section 18-8-503, C.R.S. 1984, as <br />Signed and dated this ~ day of <br />Title: <br />State of <br />ss. <br />~C,ounty of ) <br />2623Fdmo.112 {07/27/96) <br />My Commission expires: <br /> <br />Corporate Secretary ox Equivalent <br />Town/City/County Clerk <br />before me ~his~1_~ day <br />=.The foregoing instrument was acknowl~ <br />