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REV89482
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REV89482
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Entry Properties
Last modified
8/25/2016 3:11:23 AM
Creation date
11/21/2007 10:51:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978210
IBM Index Class Name
Revision
Doc Date
7/8/1998
Doc Name
CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
AM3
Media Type
D
Archive
No
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<br /> <br />-~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(4)(f), C.R.S.; <br />3. As the applicant/operator, I do not have any extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. 2 understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 29th day of June <br />Weld Count Colorado ~ <br />Y If Corporation <br />Applica/n//tq/Operator or C/ompany Name`~'/J ~ <br />Signed: ~ ,,-//~rg;~~~~~ Signed: Co <br />valent <br />Title: Chair, Weld County Board of Commissioners Town/ <br />State of Colorado ) <br />ss <br />County of Weld ) <br />The foregoing instrument was acknowledged before me this 29th day of June 1998, <br />Weld County Board of <br />by Constance L. Harbert as Chair of Commissioners <br />SIGNATIIRES MAST 8 <br />06/26/97 2823FC0.112 <br />My Commission expires: ' <br />GILLINGHAM <br />E IN HLIIE INK ~_ ~' ~~ •.......!PCr <br />9T <br />~, ,C~pP <br />~_ <br />11rCommissron Expires Marcn 26, <br />
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