Laserfiche WebLink
RECr.I~lt.J <br />- ~ - ~~- 2 0 i999 <br />Certification: Div ; o • ~"' ^_~?IS & Gee.~~; <br />As an authorized representative of the applicant, l hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />l . To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2. No mining operation will 6e located on lands where such operations are prohibited by law (Section <br />34-32.5-I I5(4)(t), C.R.S.; <br />3. As the applicanUoperator, I do not have any extraction exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamstion Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Board finding. <br />4, 1 understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein aze punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ZD~ day of SEPTEMBER <br />ELAM CONSTRUCTION, INC. <br />ApplicanUOperato Comp N <br />Signed: <br />1999 <br />If Corporation Attest (Sea{) <br />Signed <br />Corporate Secretary or Equivalent <br />Title: PRESIDENT <br />State of COLORADO ) <br />ss <br />County ofMESA ) <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 07 ~h day of SEPTEMBER 1999 <br />by 41AROLD F. ELAM ~ PRESIDENT o~A ~ ~- <br />~~~~+~~ i Notary Public <br />~o PU>~y:~ i~ <br />e 4'..~ e Q <br />`t~",~ .~~ wee ~? My Commission expires: ~~ ~ (o ~~ <br />SIGNATURES MUST BE IN BLUE INK <br />oaio~m <br />