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REV15624
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REV15624
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Entry Properties
Last modified
8/25/2016 1:26:59 AM
Creation date
11/21/2007 11:07:01 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977304
IBM Index Class Name
Revision
Doc Name
CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
AM2
Media Type
D
Archive
No
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_~ <br />CERTIFICATION <br />As an authorized representative of the applicant, I hereby certify that the operation described herein <br />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 structure(s) in existance at <br />the time this application is filed, and located within 200 feet of the proposed affected area have been identified <br />in this application (Section 3432.5-115(4)(3), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited bylaw (Section 3432.5- <br />3. As the applicanUoperator, I do not have any mining/prospecting operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials <br />(Section 3432.5-120, C.R.S.) as determined through a Board finding. <br />4. .I understand that statements in the application are being made under penalty of perjury and that false <br />statements made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 1@th day of October, 1996. <br />PETE LIEN & SONS, INC. <br />DBA COLORADO LIEN COMPANY <br />Applicant/Operator <br />If Corporation Attest (Seal) <br />J <br />By: Craig Grotenhouse,-Esq." ^ .:- <br />By: Na'Cffan A. Barton, P.E., C <br />Tltle: Environmental and Perm <br />Compliance Engineer <br />State of South Dakota ) <br />)ss. <br />County of Pennington ) <br />Corporate Secretary or. Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this )8~-` day of October, 1996, by Craig <br />Grotenhouse as Corporate Secretary of Pete Lien 8 Sons, Inc., and by Nathan A. Barton, as <br />Environmental and Permitting Compliance Engineer of Pete Lien & Sons, Inc. <br />::~ _ <br />_~ ". <br />Amy H utter, NotaFy-Public <br />:,!^~• - <br />My Commission Expires(r~"3~J~N L002 <br />SIGNATURES MUST BE IN BLUE INK <br />01/02/96 2823FC0.112 <br />
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