Laserfiche WebLink
<br />i • <br />-~- <br />Certification: <br />Ae 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 beet of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application ie 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. Ae 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 Color~ido Land <br />Reclamation Act for the Extraction of Construction Hateriale (Section 34-32.5-120, C.R.S.) <br />ae 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 12 day of June <br />Te2ak Heavy Equipment Company, Inc. <br />Appli\cant/Operator <br />Signed: ~ V. <br />Title: President <br />State of Colorado ) <br />1 ss <br />County of <br />Fremont <br />1996 <br />If Corporation Attest (Seal) <br />Signed: ~~,,,,_~.atP~L~' <br />Corpo a e Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 12 day of June 1996 , <br />by Ed Tezak, Jr. as President of Tezak Heavy Equipment Co, Inc. <br />r OLIN aI}' PUb ~1C <br />G~ p, pA ~ Hy Commission expires: May I5, 1999 <br />C <br />~J .~TAge ~,: <br />~:~~ !-°• <br />01/02/96 2823FC0.112 <br />i <br />~q~'AUBL~Grr" <br />TF OF •C Ot~P <br />