Laserfiche WebLink
,- <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 terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-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.RS.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section 3432.5-115(4)(f), <br />C.RS.; - <br />3. As the applicanUoperator, I do not have any extraction/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 (Section <br />34-32.5-120, C.RS.) as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements made <br />herein aze punishable as a Class 1 misdemeanor pursuant to Sectidn 18-8-503, C.RS. <br />Signed and dated this y ?. f f~ day of ~~~,rQi~. 2t ~ / <br />I ~G !9 a /~ - ~i~/(!r TSO d/ <br />~~~_ ~ ~/~ If Corporation Attest (Seal) <br />Applicant/Operator or Company Name <br />Signed:~.~~~_ lT' ~~~~~ Signed: <br />Title: /lful~,U' <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of Colorado ) <br />ss <br />County of Rio Blanco ) <br />The foregoing instrument was acknowledged before me this 25th day of October 2001 <br />by Diana K. Watson ag Applicant of Stout-Amick Pit <br />i <br />- ~ l~lClb.t~--i <br />Notary Publi <br />My Commission expires:. 8-6-04 <br />SIGNATURES MUST BE IN BLUE INK <br />