Laserfiche WebLink
-~- <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 />Atl necessary approvals from local government have been applied for (Section 34-32.5-110(1)(a)(Vlli). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time this <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-I 15(4)(e), C.R.S.). (NOTE: For 110 operatons, the affected area includes all lands delineated by the permit <br />boundary.) <br />3. No mining operation will be located on tends where such operations are prohibited by law (Section 34-32.5-115(4)(f), <br />C.RS.). <br />4. As the applicanUoperator, I donot have any mining/expioration operations in the Stare of Colorado currently in violation of <br />the provisions of the Colorado Land Reclarrmtion Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.). <br />5. I understand that statements in the application are being made under penalty ofperjury and that false statements made herein <br />aze punishable as a Class 1 misdemeanor ptusuant to Section IS-8-503, C.R.S. 1984. <br />Thls form has been approved by the Mined Land Reclamation Board pursuant to section 34-32.5-110,C.RS, ajthe Colorado Land <br />Reclamation Act jot eke Extraction of Construction Materials. Any afteratlon or modification ojthis form shall resuk In voiding <br />any permit issued on tke altered or modified form and subject the operator to cease and desist orders and civil penalties jot <br />operating without a permit pursuant to section 34-32.5-123, C.RS <br />Signed and dated this a/ ~ - day of G'~~s OC ~L~'~ <br />Andrew J. Botti <br />If Corporation Attest (Seal) <br />ApplicanUOperator <br />Signed: _~!t~fl'al~!i^y~^°~'S`~"_. <br />Signed: <br />Corporate Secretary or Equivalent <br />Title: Owner <br />state of ~ ~ lQ ~0 ) <br />) ss. <br />County of Delta ) <br />The foregoing~tttstrument was acknowledged before me <br />Towo/City/County Clerk <br />day of ~(^ ~J~B ~ ~~ ~ . <br />