1994-10-14_REVISION - M1983178

• Permit No: M1983178
• IBM Index Class Name: Revision
• Doc Date: 10/14/1994
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

-8-
• 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. This mining operation will not adversely affect the stability of any significant,
valuable and permanent man-made structure(a) located within two hundred (200) feet of
the affected lands . (However , where there is an agreement between the
applicant/operator and the persons having an interest in the structure that damage to
the structure is to be compensated for by the applicant/operator (Section
834-32-115 (4) (d) , C.R.S. 1984, as amended) , then mining may occur within 200 feet.
Proof of an agreement must be submitted to the Office prior to the decision date.)
2. No mining operation will be located on lands where such operations are prohibited
by law (Section 34-32-115 (4) (f) , C.R.S. 1984, as amended) ;
3. As the applicant/operator, I do not have any mining/prospecting operations in,
this state of Colorado currently in violation of the provisions 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 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 1984, as amended.
Signed and dated this /171i day of ! 7
BENT COUNTY
Applicant/Operator If Corporation
(Seal)
Corperate Secretary or Equivalent
Title: Jla..mi.aist:=�cs s...^yGity,' ounty Clerk
State of r,nI ,,y,
ss
County of Bent
The foregoing instrument was acknowledged before me this -IL' day of
�
by '!1l Ri t� l/ /2KHr7L7E.P as &1h 1 NiSTR/9-TO.e of ('Oa A)T'�.
� lv(vVotary
My Commission expires:
28ZF. pf'
(0727/94)