PERMFILE121329

• Permit No: M1997039
• IBM Index Class Name: Permit File
• Doc Date: 5/30/1997
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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Certification:

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As an authorized representative of the applicant, I hereby certify that the operation described
has met the minimum requirements of the following terms and conditions:
1. All necessary approvals from local government have been applied for
(Section 34-32.5-110(1)(a)(viii).
2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s)
is 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 34-32.5-115(4)(e),
C.R.S.). (NOTE: For 110 operations, the affected area includes all lands delineated by the
permit boundary.}
3. No mining operation will be located on lands where such operations are prohibited by law
(Section 34-32.5-115(4)(f), C.R.S.).
4. As the applicant/operator, I do not have nay 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 are 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.R.S 1984.
Signed and dated this ,~r day of ///~ ~ , /9Q7 .
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Ap scant/ - rator
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Signed:
Title: Pipe/l_X~il/T
State of l~(~[~~1 .~/7 /~ )
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County of ~TL}CX,S/.LV )
If Corporation
Corporate
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The foreg/oin,,g~]instrument~/was acknowledDged before me this ~ day of ~ / {~~/ '~,/J~941 ,
bl. ~CRQKU' ~H/`)!/ as ~/ ~~`',cS~~F/3/ of ~~NA"T7 K~°Cl1 ~JV''~(
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01/02/96 2821FC0.110
SZGNATIIRES MUST BH ffi BLIIE INR
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My Commission expires: JI ~a ~ ~ e2DO(~