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REV07465
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REV07465
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Entry Properties
Last modified
8/25/2016 1:08:18 AM
Creation date
11/21/2007 9:43:07 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979192
IBM Index Class Name
Revision
Doc Date
10/12/1999
Doc Name
CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
CN1
Media Type
D
Archive
No
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i ~.. <br />-~- <br />Certification: <br />P.s an authorized representative of the applicant, 2 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 20D <br />feet of the proposed affected area have been identified in this application (Section 3x- <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 1 day of October 1999 <br />Pete Lien & Sons, Inc. dba Trans-Colorado Concrete <br />Applicant/Operator or ompany Name <br />%~/~ -\ <br />Signed: ~'~'l~ ~~ <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalert <br />Title: General Manager Town/City/County Clerk <br />State of South Dakota ) <br />ss <br />County of Pennington ) <br />The foregoing instrument was acknowledged before me this 1 day of October _, 1999 , <br />by `like Vidal as General Manager of Pete Lien & Sons. Inc dba <br />~ Trans-Colorado Concrete <br />,r <br />~ ~~ <br />/ Notary Public <br />hIy mission expires: ~ >; JG'd / <br />SIGNATIIRES MIIST BE IN BLUE INR <br />01/27/9"1 2823500.112 <br />J <br />
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