Laserfiche WebLink
-~- <br />Certification: <br />As ao authorized representative of the applicant, I hereby certify that the operation descaibed has met the minimum <br />requirements of the foliawing terms and conditions: <br />1. To the best of my Imawledge, all significant, valuable and permanent man-made stnrcture(s) inexistence at the time <br />this application is Sled, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 3432.5-115(4)(e), C.RS.). <br />2. No mining operation will be located on lands where sudr operations are prohibited by Iaw (Section <br />34-32.5-115(4xf), C.RS.; <br />3. As the applicanUoperator, I do not have nay extractionJexploration 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.RS.) as determined through a Board finding. <br />4. I understand that statem~ts 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, CRS_ <br />Signed and dated this ~ day of ~.tP C~Io~4Y ~fJD~ <br />If Corporation Attest (Seat) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of ~InPAI`D ) <br />ss <br />County of ~Qf!MOfI~ 1 <br />The fore~going instn~tnnent was aclmowledged be~fore me this ~Q ~ day of p ~CCEM ~r2 2602 , <br />by . Jrl~,n ~.. 1\P~t as _i ~csv~rn~ of V.~I• ~:~E ~y~G~ 3,~tc^~i1Y11X ~YY . <br />Jim <br />Notary Public <br />My Camnaission <br />SIGNATURES tiIUST BE IN SLUE Pi Tip' <br />m:~n`snaeh~u~~omtmtiou itzmc tiaurmop <br />Title: 1 /~°.S~(~~({ <br />