Laserfiche WebLink
<br />_4_ <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described herein has met the minimum re9uirements of the following terms and conditions: <br />1. This mining operation will not adversely affect the stability of any _ <br />significant, valuable and permanent man-made structure(s) located within <br />twv hundred (200) feet of the affected lands. However,~where there is an agreement <br />between the applicant/operator and the persons having an interest in the structure <br />' that damage to the structure is to be compensated for by the applicant/operator <br />(C.R.S. 34-32-115(4)(d )), then mining may occv r within 200 feet. Proof of an <br />agreement must be submitted to the Division prior to the decision date. <br />2. No mining operation will be located on lands where such operatlens are <br />prohibited. by law (C.R.S. 34-32-115(4)(f)); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in <br />this State of Colorado a rrently in violation of the provisions of the Mined Land <br />Reclamation Act (C.R.S. 34-32-120) as determined through a Board finding. <br />4. 1 understand that statements in the application are being made under penalty <br />of per,)ury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ~_ day of ~~-~4~.2 95"-. <br />5••`4..,aef,0 C.nu.~. /~le~ern.A(}/',c(y@. <br />Applicant/Operator VV <br />If Corporation Attest (Seal) <br />T1 tl e: e~~ r,-~. ~ Fem., -~„ <br />State of (~ ,,.,..,~,,,, ) <br />ss <br />County of ) <br />By <br />Corporate Secretary or Equivalent <br />Tarn/City/County Clerk <br />The foregoing instrument was acknowledged before me this <br />by s ._ t(~ _.J_r (/ Fo-,~.-,-.-a,,,. _ <br /> ~.. Q.e.c.4U ..Q.~n <br />2823E (01/91) <br />~2 day of ~fQ L+~..IKr „~, <br />;, ~~r , <br />-rJ ~ :YG <br />of <br />My Commission' <br />~~AGUp <br /> <br />