PERMFILE103380

• Permit No: M2000048
• IBM Index Class Name: Permit File
• Doc Date: 4/5/2000
• Doc Name: SALES RECEIPT
• From: DMG
• To: KIOWA CNTY
• Media Type: D
• Archive: No

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rtifi ~on:
As an authorized representative of the applicant I hereby certifi that the operation described has met the minimum requirements of the
following terms and conditions:
All necessary approvals Gom local government have been applied for (Section 34-32.5-t 10(1)(al(viii).
2. To the best of my knowledge, all significant, valuable and permanent man-made stmcture(s) m existence at the time this
application is filed, and located within 200 feet of the proposed affected area have been identified in this application
(Section 34-32.5-1 l5(4)(e), C.R.S.). (NOTE: For I (0 operations, the affected area includes all lands delineated b_v the permit
boundary.)
No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-115(4)(f), C.RS.).
4. As the applicandoperator, I do not have any mining/prospecting operations in the State of Colorado currently in violation of
the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.).
5. I understand that statements in the application aze being made under penalty of perjury and that false statements made herein
are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS 1984.
Signed and dated this ~lMa:=. day of March 2000
Kiowa County If Corporation Attest (Seal)
ApphcandOperator
Signed: /~
Dutch Eikenberg
Signed:
B tty V. Crow
Corp ate Secretary or Equivalent
Title: Chairman- Kiowa Countv Commissioner
State of Colorado )
ss.
Countv of Kiowa ~
Town/City/County Clerk
The foregoing instrument was acknowledged before me [his 315t~. day of March 2000 by
n~,rrh~g as Chairman ofKiowa County Commissioners
No ary Public
- My Commission expires: /
- ~ SIGNATURES MUST BE IN BLUE INK
M:VNIMSHAR6IVSEORMS~282ICOIO.APP 06/25.'99
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