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REV93285
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REV93285
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Entry Properties
Last modified
8/25/2016 3:14:37 AM
Creation date
11/21/2007 11:29:17 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977053
IBM Index Class Name
Revision
Doc Date
9/26/1996
Doc Name
CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
CN1
Media Type
D
Archive
No
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-~- <br />Certification: <br />As an authorized representative of the applicant, Z hereby certify that the operation <br />detcribed 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 ouch 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. I 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 2~_ day of SEPTEMBER 1996 <br />ASPHALT CONSTRUCTORS, INC. <br />Applicant/Operator ~^~'/~//~~ Q~ <br />Signed: ~ ~ ~1LB~~°1 <br />Title: PRESIDENT <br />State of COLORADO ) <br />} ss <br />County of ALAMOSA ) <br />If Corporation Attest (Seal) <br />Signed: ~/G(i.[(il ~J~~''. ~C~~7~ <br />Corporate gocretary or EquivalenC <br />TownjCty/COU my Clerk <br />The foregoing instrument was acknowledged before me this 23 day of SEPTEMBER 1996 <br />by DOUG MCDONALD <br />as PRESIDENT <br />of ASPHALT CONSTRUCTORS, ING. <br />Notary Pu ie <br />My Commission expires: JANUARY 25, 1997 <br />01/02/96 2873FC0.112 <br />
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