Laserfiche WebLink
~EC~~~E® <br />-~- <br />Certification: <br />MAR Z 72002 <br />Division of Minerals and GeoloDY <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements <br />of the following terms and conditions: <br />1. To the best of my knowledge, all signi5cant, 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 <br />(Section 34-32.5-115(4)(e), C.RS.). <br />2. No rrtining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-115(4)(f), <br />C.RS.; <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.RS.) as determined through a Aoazd Bending. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements made <br />herein aze punishable as a Class 1 misdemeanor ptusuant to Section 18-8-503, C.RS. <br />d <br />Signed and dated this ZZtL day of ~'~ <br />2QoZ <br />~uC~o%v~l ~//~//a~/ / "P/f'~f~! ~~~~' ~/4~9rf~Of If Corporation Attest (Seal) <br />App~Operator or Company N <br />Signed: (~~ L Ol~c~r/ Signed: <br />Title: ~.d/~f~~'/e%f <br />State of l.a ~ O rct.ac7 <br />} ss <br />County of Mesa } <br />Town/City/County Clerk <br />^a ~~b <br />The foregoing instrument was aclmowledged before me this ~ ` day of r , ~_, <br />by IQt.tdol~h ~F~-n-~-anar~~ as Sde ProprtaFFor of e <br />~~,(.~„t , c~~E~-v-t~v~~ <br />Notary Public <br />My Commission expires: I Z-1'7 -Q3 <br />Corporate Secretary or Equivalent <br />SIGNATURES MUST BE IN BLUE INK <br />