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2002-02-25_REVISION - M1986140 (2)
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2002-02-25_REVISION - M1986140 (2)
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Entry Properties
Last modified
6/15/2021 2:49:29 PM
Creation date
11/21/2007 3:10:05 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1986140
IBM Index Class Name
Revision
Doc Date
2/25/2002
Doc Name
Amendment Application
From
Universal Peat Sand and Gravel
To
DMG
Type & Sequence
AM1
Media Type
D
Archive
No
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__ <br />Certification: <br />Division of Miaerols and Geobg-t <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of the <br />following terms and conditions: <br />1. All necessazy approvals from local government have been applied for (Section 34-32.5-110(1)(a)(viii). <br />2. To the best of my Imowledge, 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 (Section 34-32.5- <br />115(4)(e), C.R.S J. (NOTE: For 110 operations, the affected azea includes all lands delineated by the permit boundary) <br />3. No Honing operation will be located on lands where such operations aze prohibited bylaw (Section 34-32.5-115(4)(f), C.R.S.). <br />4. As the applicanUoperator, I do not have any mininglprospecting operations in the Slate of Colorado currently in violation of <br />the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S J. <br />5. I understand that statements in [he application aze being made under penalty of perjury and that false statements made herein <br />aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S 1984. <br />Signed and dated this ~ day of f'w'~/ZLL ~c ~~- <br />(.l Nt d QK s ~ /~~v" S,ar 9 ~6aa~~~, <br />ApplicanUOperator <br />Signed: <br />Title: ~/1 ~ S i ~ en'f <br />State of ~t/~u An .9 ) <br />n ~~ ~®® ) ss. <br />County of CLFI-/LfL ) <br />The foregoing instrument was acknowledged before me <br />.2vLlL~"~~ ~i2.[R~ as <br />6 - FEB 2 5 2002 <br />If Corporation Attest (Seal) <br />Signed: ~ <br />Corporate Secretary or ivalent <br />Town/City/County Clerk <br />G ~ day of f'e <br />of <br />by <br />NOTARY PUBLIC <br />STATE OF NEVADA <br />- County Of Clark <br />ROBERT S. WYATT <br />AppL No. 9451052-1 <br />My lppt Fipies0ec.22, 2(102 <br />My Commission expires: ~ Zy 6 <br />SIGNATURES MUST BE IN BLUE INK <br />-L'pc . <br />M:VvIIN~SFIARE\VSFORMS\2821 CO10.APP 10/15/01 <br />
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