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2006-06-02_PERMIT FILE - M2006050
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2006-06-02_PERMIT FILE - M2006050
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Last modified
5/6/2020 10:54:04 PM
Creation date
11/25/2007 4:01:27 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006050
IBM Index Class Name
Permit File
Doc Date
6/2/2006
Doc Name
Construction Materials Limited Impact (110) Operation Reclamation Permit Application Form
From
Lincoln County
To
DMG
Media Type
D
Archive
No
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Certificafion: <br />-6- <br />As an authorized representative of the applicant, I hereby certify that the operation describedhas met the nrinimu<n requirements of <br />the following terms 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 pemumentman-made structure(s) in existence at the time this <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-115(4)(e), C.RSJ. (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 aze prohibited by law (Section 34-32.5-115(4j(fj, <br />C.RS.}. <br />4. As the applicant/operator, I do not have a~ minirtg/exploration 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 <br />(Section 34-32.5-120, C.RS.). <br />5. I 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.RS. 1984. <br />This form has been approved by theMined Land Reclamation Board pursuantto section 34-32.5110,GRS, ofthe Colorado <br />Land Reclamation Ad jor the Extraction of Construction Materials. Any alteration or modification ofthis form shall result <br />in voiding any permit issued on the altered or mod~ed form and subject the operator to cease and desist orders and civil <br />penalties for operatixg without a permit pursuant to section 34-32-123, GRS. <br />Signed and dated tlris ~S T~ day of ~/riQ ~ 2 ~ O ~ <br />LINCOLN COUNTY <br />ApplicandOperator <br />Signed: ~~ <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Title: Land Use Adm. <br />Town/City/County Clerk <br />State of ~~~~~ 1 <br />ss. <br />County of ~--~ ~ co`r~ ) <br />The foregoing instrument was aclarowiedged before me this '~-S~ day of hf~a-ti ~_, <br />by ~l~b-r~~~cc~ as `---`-~ V,s~ ~+~w.;r~s~-l-e.rof ~v.w~,~ ~- <br />~~ i~1n ~Q <br />Notary Public ' <br />.- My Commission expires: ~~S _ '~`-l. 7tro ~ <br />~ ~~-`- - <br />SIGNATURES MUST BE IN BLUE INK <br />M:1min\shaze\vsfomss\Constn~ctionl r0 (07/2S/2004) <br />
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