Laserfiche WebLink
- 6 - <br />Certification: <br />As an authorized representative of the applicant,) hereby certify that the operation described has met the minimum requirements of the <br />following terms and conditions: <br />All necessary approvals from local government have been applied for (Section 34-32.5-I 10(1 xaxviii). <br />2. To the best of my knowledge, all significant, valuable and permanent mart-made structure(s) in existence at the time this <br />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(4xe), C.R.S.). (NOTE: For 110 operations, the affected area includes all lands delineated by the permit <br />boundary.) <br />3. No mining operation will be lotted on lands where such operations are prohibited by law (Section 34-32.5-1 I5(4)(F), C.R.S.). <br />4. As the applitnUopetator, [ do not have any mining/prospecting operations in the State of Colorado currently in violation of <br />the provisions of the Colorado Land Reclamation Act for the Extraction of Conswction Materials (Section 34-32.5-120, C.R.S.). <br />5, 1 understand that slatelrtents in the application are being made under penalty of perjury and that false statemenu made herein <br />are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S 1984. <br />Signed and dated this G' day of ~ ~. <br />F.VAN T._ FIF.T.RY, TNC. If Corporation Attest (Seal) <br />Siged: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of ( 0~0 /'C~ ~(~ ) <br />/r ) ss. <br />County of C C.J Ti ~~Cr ) <br />The foregoing instrument was acknowledged before me this J` ~h day of ! Aug us ~ . ~ s , . by <br />~' ~1 / as of <br />~/7'/1.'! ~ . ~f ~('~/ill <br />N tary Public <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE INIC <br />M:V.1QJlSFiARE\VSFOfiMS12821CU10.APP 02/ION9 <br />