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REV96047
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REV96047
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Entry Properties
Last modified
8/25/2016 3:20:52 AM
Creation date
11/21/2007 11:55:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1973021
IBM Index Class Name
Revision
Doc Date
8/25/1998
Doc Name
CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
Type & Sequence
AM5
Media Type
D
Archive
No
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-~- <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.`i-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 />St a~.e 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 ~L day of August 199R _ _~. <br />CAMPS Colorado Inc./Aggregate Division If Corporation Attest (Seal) <br />Applicant/Operator or Company Name 1J,~,~ ~ ~~)(~~ <br />Signed: Signed: ~~C,~N ' 'o/LGW i~~ <br />Corporate Secretary or Equivalent <br />Title: <br />State of Colorado <br />Town/City/County Clerk <br />ss <br />County of Jefferson ) <br />The foregoing instrument was acknowledged before me this ~~ of August 1998, <br />by Pick Mergens as VP%General Manager of CAMAS Colorado Inc./Aggregate Div. <br />Notary Public <br />My Commission expires:~~~ <br />,~~" , <br />~`'~ r: l~ ~'~.. <br />SIGNATQRES MCTST BE IN BLIIE INK '/~~~ ~~ ~~•~=y~% <br />~i ~ A. I `. <br />06/26/97 2823FC0.112 ~ S ~~~ ~ - <br />;,.,.r~~,.l <br />,~•. <br />
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