PERMFILE120603

• Permit No: M1995005
• IBM Index Class Name: Permit File
• Doc Date: 1/25/1995
• Doc Name: FAX COVER
• From: DMG
• To: MOUNTAIN REGION CORP
• Media Type: D
• Archive: No

-s-

Certification:
As as authorised representative of the applicant, i hereby certify that the operation
described has met the minimum requirements of the following terms and conditions:
1. This mining operation will not adversely affect the stability of any
significant, valuable and permanent man-made structure{s) located within two hundred
(200) feet of the affected lands. (However, where there is as agreement betxeen the
applicant/operator sad the persons having an interest is the structure that damage
to the structure is to be compensated for by the applicant/operator (Section
834-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet.
Proof of as agreement must be submitted to the Office prior to the decision date.)
2. No mining operation will be located on lands where such operations are
prohibited by lav (Section 34-32-115(4)if), C.R.S. 1984, 8s amended);
3. As the applicant/operator, I do not have say miaingfpmspecting operations in
this state of Colorado currently in violation of the provisions of the Mined Land
Reclamatiaa Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through
a Board finding.
6. i`uaderetand that statements in the application are baiag made under penalty
of perjury sad that false statements made herein are punishable as a Class i
misdemeanor pursuant to Section 18-8-503, C.R.S 1984, as amended.
Signed and dated this ~ day of
`(~. s eu.Qd lse -~ sa-`t ~wEe Qa ~ haEdA~~.a~co+^-
Applicant/Operator If Corporation Attest (Seal)
By: By:
Title:
State of
ss
County of
Corporate Secretary or Equivalent
Town/City/County Clerk.
The foregoing instrument xas aclmoxledged be^fo-re /me this # day of ~ ^,
by r . ~~Cr as ~res [r~(nk of ~{Dlf,Nfaiy..~ ~ar~C'orc(arc~iaw
Notary Pub c
My Coamiissioa expires:
2823F
(10/14/94)