Laserfiche WebLink
- 7 - <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />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 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 34-32.5-1 IS(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-115(4)(f), 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 Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Board fmding. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this f; rsr day of Nnvvmhar . ~(1f19 <br />Oldcastle SW Group, Inc. dba <br />United Companies of Mesa County <br />ApplicanUOperato Company Name <br />Signed: <br />Title: ~~ /~Ye+~iilavr>' <br />State of <br />County of <br />Colorado ) <br />ss <br />Mesa 1 <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 1st day of November 2002 <br />Oldcastle SW Group, Inc. dba ' <br />by Peter J. Siegmund as Vice President of „_.«..,, n,..- ........... ..o M,~~ r,..,...y <br />t-- - <br />-. ~~~ <br />~°. <br />If Corporation Attesf(Seal)', - <br />_: <br />Sign ~ <br />Lowell cock <br />Corporat ecretary or Equivalent <br />Notary Public Genevieve M. Blecha <br />My Commission expires: April 4, 2003 <br />SIGNATURES MUST BE IN BLUE INK <br />M:N9MSHAREIVSFORMS~2821C012APP 01/10/99 <br />