2007-02-20_REVISION - M1977342 - Laserfiche WebLink

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'Certilicaeion: •Ae 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. This mining operation will not adversely affect the etab~li:y of any significant, valuable __ and permanent man-made structure(s) located within two hundred (200) feet of the affected ._ lands. (However, where there is art agreement between [he applicant/operator and the persons ._ having aw interest in the structure that damage to [he structure is to be compensated Eor by _ the applicant/operator (Secr.ion 934-32-115(4)(d), C.R_S_ 1984, ae amended), then tn!ning may occur within 200 fer_t. Proof of an agreemer.[ must be submitted to the Office prior to thr dreieion date.) 2. xo mining operation will be located on lands where such operations are prohibited by law '- IScetion 34-32-115(4)(f), C.R.S. 1984, as amended); -• 3. Aa the applicant/operator, I do not have any mining/prospecting operations in this state •- of Colorado currene]y in violation of the provtsiona of the Mined Land Reclamation Act •- (Section 34-32-120, C.R.S. 1984, as amended) as determined through a Board finding. .- 4. I understand thnt statements in the application are being made under penalty of perjury ._ and that false statements made herein are punishable as a Ciaee 1 miedetacanoz puzaunnt to -_ Section 18-e-503, C.A.S. 1984, as amended. Thies form 6aa bees approved by the Nlnsd Laced Reclauatton Hard purauaat to aactioa 31-31- -112, C.R.B., of the d!laed Lmd Raclamatton Act. Any alteratloa or mod[ficatloa o! [bin fora shall -result !n voiding any psrmie issued on the altered or modified form and subject the operator to cease and desist orders and c!v!1 panalelea for operatlag rlthout a permit pursuant to asctloa 34- 31-113, C.R.B. ;$igaed and dated this ~_ day o£ (~\~ O !J 6 ._CCG•cW ~/r(ac7t3Af.~tuk ` 2-in/; _ Applicant Qpe for Na i _~ ~/ /~ v '8ignature: ._ -Tit 1 e : (, ~(C f ~ /~i2( SS! 4f ~!7 ! ~yf,rl( /!d-r /~/ifs/~~i f,~' State of //~CI~-~ ) -County of. ,~ ) :The foregofng instrument was acknowledged before me this ~~ day dt yL~a(~~j~~'~•, -4Y~t~ES f}yP~LoC.I,~ ae GiL~ I~a'~S//~4.tr •~ o ~cla~itV [+~uL.`'gDE<f~nl~wiis(j- -- tGfC__J ~!!-Z~ x ary Publi~c/ __ My Commission expires: ~tlr'!~r.~ 1~~~~ __ .M~~htx~.,siwxx\vseon>,s~:e~is:»to.tts ~osi~s/oar KAREN KRAUSS -- NOTARY PUBLIC •- STATE OF COLORADO - M~ Commirrion frpurs Junes 4, 2008 If Corporation Attest (Corporate/COUrty Seal)