Laserfiche WebLink
-G- <br /> Certification: <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements <br /> of the following terns and conditions: <br /> 1. All necessary approvals from local government have been applied for(Section 34-32.5-110(1)(a)(viii). <br /> 2. To the best of my knowledge, all significant,valuable and permanent man-made structure(s)in existence at the time <br /> this application is filed,and located within 200 feet of the proposed affected area have been identified in this application <br /> (Section 34-32.5-115(4)(e),C.R.S.). (NOTE: For 110 operations,the affected area includes all lands delineated by the <br /> permit boundary.) <br /> 3. No mining operation will be located on lands where such operations are prohibited by law(Section 34-32.5-115(4)(f), <br /> C.KS.). <br /> 4. As the applicantloperator, I do not have any mining/prospecting operations in the State of Colorado currently in <br /> violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials(Section 34- <br /> 32.5-120,C.R.S.). <br /> 5. 1 understand that statements in the application are being made under penalty of perjury and that false statements made <br /> herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R.S. 1994. <br /> Signed and dated this day of September 2001 <br /> • t10 Co ly. <br /> _ Huerfano CountyrlItteSPe($C ) <br /> Applicant/Operator <br /> Signed: ( Signed: •' <br /> ew Nigrin It,/ Z`�� <br /> Corporate/5 `\\N valent <br /> Title: Admin;strato /Planne Town/Ci /County Clerk <br /> State of Colorado ) <br /> ss. <br /> Countyof Huerfano 1 <br /> The foregoing instrument was acknowledged before me this day of a�j,by <br /> Cait(A' iI1A asAdminl IVID7l of <br /> ® eI�AI? 1ALA4 e.21 <br /> a Notary Public <br /> My Commissionexpires: <br /> SIGNATURES MUST BE IN BLUE INK <br />