Laserfiche WebLink
RECE9NE® <br />- 6 - AUG 0:8 2002 <br />Certification: <br />Division of Minerals and GeolaBY <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 />All necessary approvals from local government have been applied for (Section 34-32.5-110(1)(a)(viii). <br />2. To the best of my knowledge, 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 area have been identified in this application <br />(Section 34-32.5-t l5(4)(e), C.R.SJ. (NOTE: For 110 operations, the affected area includes all lands delineated by the permit <br />boundary.) <br />No mining operation will be located on lands where such operations are prohibited by law (Section 34-32. ~-1 I5(4)(f1, C.R.S J. <br />4. As the applicant/operator, I do not have any mirting/prospecting operations in the State 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 the application are being made under penalty of perjury and that false statements made herein <br />are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS 1984. <br />Signed and dated this ~~ t~ day of J ~7 ZOO Z- <br />Lptiuont~a Peas. ~-ta.~t ConnPaJY <br />Applicant/Operator ^ <br />Signed: ~~ 1~~~~~~ <br />Title: (~~J,t)E~ <br />If Corporation Attest (Seal) <br />Signed:l -~~~ / ~[~.f!~ Y i~ 1 ~f~`l <br />Corporate Secretary or Equivalent <br />State of ( ~n~hv~ ~~d ) <br />ss. <br />County of ~, l~ e / ) <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 3 o day of J u ~~ ~ bfl 2 , by <br />~-~o.~arc~ NO(...Ko~JPi/ as Dc.t.rlPr ~ ~,,(conJO,/ {~vnc.S/~o,~>° . <br />~Lr Q~~~ ~~~~~ <br />Notary Public <br />My Commission expires: 7 - ~ ~ n /". <br />SIGNATURES MUST BE IN BLUE INK <br />M:\MIMSFIARE\VSFORMB\282ICOIO.APP 06/25/99 <br />