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REV95711
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REV95711
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Entry Properties
Last modified
8/25/2016 3:20:39 AM
Creation date
11/21/2007 11:51:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1973021
IBM Index Class Name
Revision
Doc Date
11/14/1994
Doc Name
REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
AM4
Media Type
D
Archive
No
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<br /> <br />-e- <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. This mining operation will not adversely affect the stability of any significant, <br />valuable and permanent man-made structure(s) located within two hundred (200) feet of <br />the affected lands. (However, where there ie nn agreement between the <br />applicant/operator and the persons having an interest in the structure that damage to <br />the structure is to be compensated for by the applicant/operator (Section <br />834-32-115(4)Id), C.R.S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of an agreement must be submitted to the Office prior to the decision date.) <br />2. No mining operation will be located on lands where such operations are prohibited <br />by law (Section 34-32-115(4)(£), C.R.S. 1984, as amended); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in <br />this state of Colorado currently in violation of the provisions of the Mined Land <br />Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through a <br />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 1984, as amended. <br />Signed and dated this 9 day of November 1994 l~ <br />_ COOLEY GRAVEL COMPANY <br />• Applicant/Operator <br />By <br />Tit <br />If Co oration fjt (Seal)-. ~- <br />BY ~ ~ ~, - <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of Colorado ) <br />ss <br />County of Jefferson ) <br />The foregoing instrument was acknowledged before me this 9 day of November ,1994 , <br />by Rick Mergens as VP/General Manager of Coolev Gravel Comnanv <br />Notary Public-3ti09_ S. Wadsworth <br />My Commission expires: Ortnhe,.L~~ew~~r~5 CO 80235 <br />• <br />2823F.•a•p( <br />(0727/94) <br />
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