_REVISION - M1981302 ‎(86)‎

• Permit No: M1981302
• IBM Index Class Name: Revision
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM2
• Media Type: D
• Archive: No

• -7- •
Certification:
As an authorized representative of the applicant, I hereby certify that the operation
described has met the minimum requirements of the following terms' and conditions:
1. To the best of my knowledge, all significant, valuable and permanent man-made
structure(s) in existence at the time this application is filed, and located within 200
feet of the proposed affected area have been identified in this application (Section 34-
32.5-115(4) (e), C.R.S. ).
2. No mining operation will be located on lands where such operations are prohibited by
law (Section 34-32.5-115(4) (f) , C.R.S. ;
3. As the applicant/operator, I do not have any extraction/exploration operations in the
State of Colorado currently in violation of the provisions of the Colorado Land
Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S. )
as determined through a Board finding.
4. I understand that statements in the application are being made under penalty of
perjury and that false statements made herein are punishable as a Class 1 misdemeanor
pursuant to Section 18-8-503, C.R.S.
02
Signed and dated this day of February , t997 c
J
If Corporation Attest (Sea-)
Applicant Opera or Company Name -
Signed: Signe �<J kk-''n1O-q
Corporate Secretary or E ivalent
Title: . Area Manager Town/City/County rk
State of Colorado )
ss
County of Boulder )
The foregoing instrument
was acknowledged before me this
af day of fMI RY
by-DAV( D P -lIYY1ME as APR MAWGe-, of WUHUM M05LEE &U(.1� �;
Notary lic
My Commission expires: A UST 10 �o ;
SIGNATURES MOST HE IN BLUE INK
01/02/96 1823FC0.112