REV07172

• Permit No: M1987164
• IBM Index Class Name: Revision
• Doc Date: 7/3/2000
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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Certification•
As an authorized representative of the applicant, I hereby certify that the operation
described has met the minimum requirements of the following terms and conditions:
1. To the best of my knowledge, all significant, valuable and permanent man-made
structure (s} in existence at the time this application is filed, and located within 200
feet of the proposed affected area have been identified in this application (Section 34-
32.5-115(4)(e1, C.R.S.).
2. No mining operation will be located on lands where such operations are prohibited by
law (Section 34-32.5-115(4)(f), C.R.S.;
3. As the applicantfoperator, I do not have any extraction/exploration operations in the
State of Colorado currently in violation of the provisions of the Colorado Land
Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.)
as determined through a Board finding.
4. I understand that statements in the application are being made under penalty of
perjury and that false statements made herein are punishable as a Class 1 misdemeanor
pursuant to Section 18-8-503, C.R.S.
~~
- ~~:L~L RESp`q..
30th June 2000 00 ;. ~ ~.
Signed and dated this day of .,•`pRPOq~,,~~
i ~~~.
,,EALi
i
Connell Resources, Inc. c~ ~
If Corporation Attest (S ti ~
Applicant/Operator or Company Name '~., ~00
O'~COLOPr
r
Sign Signed:
Corporate Secretary or E ivalent
Title: 3.ce President Town/City/County Clerk
Compliance Officer
State of Colorado )
ss
County of Routt )
2000
The foregoing instrument was acknowledged before me this 3Q day of June
by Tony A. Connell as Vice President of Connell Resources, Inc.
1
My Commission expires:
srcrn~xux~s rmsx sE n~r sLVE irm ' ~j gANDRA
N. POKAY
04/25/97 2823FC0.112