2004-04-26_REVISION - M1987064

• Permit No: M1987064
• IBM Index Class Name: Revision
• Doc Date: 4/26/2004
• Doc Name: Amendment Application
• From: Sandco Inc.
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-,-
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. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time this
application is filed, and located within 200 feet of the proposed affected azea have been identified in this application
(Section 34-32.x-11~(4)(e), C.RS.).
2. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32d-1 li(4)(~,
C.RS.;
3. As the applicant/operator, I do not have any extraction/expioration operations in the State of Colorado currently in
violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section
34-32.5-120, C.R.S.) as determined through a Boazd finding.
4. I understand that statements in the application are being made under penalty of perjury and thaz false statements made
herein aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS.
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Signed and date$ this .'26th day of April 2004 ;;~~ \f 0- "~,
SANDCO, INC.
Applicant/ erator or - ompany Name
Sign v ~'
Title: ~iL' ~.S
SWteof Colorado }
ss
County of La Plata }
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If Corporation Attest (St?al) ~ ~ ~G~;'~ '~
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Signed_
Corporate Secretary or Equivalent
Town/City/County Clerk
The foregoing instrument was aclmowledged before me this 26th day of Aoril 2004 ,
and L1n a3 E, Head as Sec etar
by David Dillon as President^ c.. of Sanydco. Inc.
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':;;`I`'(,I:.'~~;~fy;Commission expires: JCI -30 - D to
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SIGNATURES MUST BE IN BLUE INK