Laserfiche WebLink
-7- • <br /> Certification: <br /> As an authorized representative of the applicant, I hereby certify that the operation <br /> described has met the minimum requirements of the following terms, and conditions: <br /> 1. To the best of my knowledge, all significant, valuable and permanent man-made <br /> structure(s) in existence at the time this application is filed, and located within 200 <br /> feet of the proposed affected area have been identified in this application (Section 34- <br /> 32.5-115(4) (e), C.R.S. ) . <br /> 2. No mining operation will be located on lands where such operations are prohibited by <br /> law (Section 34-32.5-115(4) (f) , C.R.S. ; <br /> 3. As the applicant/operator, I do not have any extraction/exploration operations in the <br /> State of Colorado currently in violation of the provisions of the Colorado Land <br /> Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S. ) <br /> as determined through a Board finding. <br /> 4. I understand that statements in the application are being made under penalty of <br /> perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br /> pursuant to Section 18-8-503, C.R.S. <br /> Signed and dated this day of February , 1997 <br /> If Corporation Attest (.Seal) •:: �� <br /> Applicant/Oper for r company Name <br /> Signed: Signed 6�� uv l `. �1L l l <br /> Corporate Secretary Equivalent <br /> Title: Area Manager Town/City/County lerk <br /> State of Colorado ) <br /> ss <br /> County of Boulder ) r�r�YY AA r1 <br /> The foregoing instrument was acknowledged before me ,t�h/isc2, day of FTBWry� I- ,/ <br /> byXAVR) R_U M IT) � as ARE WN/4C- E of W 7�rN 1 64N I-& AULDO.Z <br /> l� <br /> Not Publlicc <br /> My Commission expires: Aacqu51r 16rcl�n`J <br /> SIGNATURES MUST BE IN BLUE INK <br /> 01/02/96 2823FCO.112 <br />