REV90451

• Permit No: M1977211
• IBM Index Class Name: Revision
• Doc Date: 5/1/1994
• Doc Name: APPLICATION FOR PERMIT AMENDMENT AM-01 - PIKEVIEW QUARRY PNM-77-210
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-5-

4. I understand that statements in the application are being made under penalty
of per]ury and that false statements made hereto are punishable as a Class 1
misdemeanor pursuant to Section 18-8-503, C.R.S.
Signed and dated this 1L day of / 9 ,~•~.
LNSitL ~or1cRG_SL Co, ;1~ ~;
Applicant/Operator If Corporati/~on~Aptt~/est (S/enal)- :
By: ~ ~ By: .C-~d.~C~.~.cX ~.:.
Title: /~.,~ 'a__t Corporate Secrets or Equivalent
Town/City/County Clerk
State of (^o~ /I,,D~ )
/~~ > ss.
County of ~ L rpl~ )
~~
The foregoing instrument was acknow dged before me this ~ day of /9Sy
by C/~R. L C, /~,U/~.io .7/L as ?r ./~~ . of ~ o. .~ •s,.
+y~;••
r, r~
.. \ ~,
'' t '..
2823E (02/05/93)
Notary Public /
My Commission Expires: g /s~6
•