Laserfiche WebLink
-7- <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 beet 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 /> 32.5-115(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. As 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 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 _ P�011 day of <br /> root-n vet N�okv-O c'P If Corporation Attest (Seal) <br /> Ope <br /> Signed: Signed: <br /> Carp st <br /> Title: m ..� ,.;C1:,;County Clerk <br /> State of Colo r-O (Jo ) <br /> ) ss <br /> County of 1Y PM 0 0l/" ) <br /> The foregoing instrument was acknowledged before me this L day of <br /> by .1���KFF1�• �N, as of '�Mv - �y -%�no4tiO4wm. <br /> —T <br /> t Notary ublic <br /> my Commission Expires <br /> My Commission expires: 0q-9q-9nn9 <br /> O1/02/% 2823FCO.112 <br />