Laserfiche WebLink
- 6 - <br />Certification: <br />As an authorized representative of the applicant I hereby certif} that the operation described has met the minimum requirements of the <br />following terms and conditions: <br />All necessary approvals from local government have been applied for (Section 3d-32.5-110(I)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made swcture(s) in existence at the time this <br />application is fled, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 3d-32.5-1 l5(4)(e), C.R.S.). (NOTE: For 1 l0 operations, the affected azea includes all lands delineated b_v the permit <br />boundary.) <br />No [Wining operation will be located on lands where such operations are prohibited bylaw (Section 3~1-32.5-1 l5(4)(f), C.RS.). <br />4. As the applicanUoperator, I do not have any mining/prospecting operations in the State of Colorado currently in violation of <br />the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.). <br />5. I understand that statements in the application are being made under penalty of perjury and that false statements made herein <br />are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS 1984. <br />Signed and dated this 1 2 th day of May <br />Lincoln County <br />AppGca~nt/Opera/tor <br />Signed: ~/~P/rC'~ `Z2t~~'l~.i <br />Title: <br />Land Use Administrator <br />State of Colorado ) <br />Lincoln )ss. <br />County of ) <br />The foregoing instrument was acknowledged before me this 12th <br />Pete Aragon <br />as <br />2000 <br />If Corporation Attest (Seal) <br />Signed: ~~ .\~~eJ~. <br />Corporate Secretary or Equivalent - <br />Town/Ci _ County Clerk <br />day of May <br />2000 bv. <br />Land Use Administrator of Lincoln County <br />Notary Public <br />My Commission expires: ~r-bt ~ ~`~ , ~~~ <br />SIGNATURES MUST BE IN BLUE INK <br />M:VvfIN~SfL4RE~VSFORM5~2821CO10.APP 06/2i/99 <br />