2007-12-05_PERMIT FILE - M2007089

Home Browse Search

-6- ertification: s an authorized representative of the applicant, I hereby certify that the operation described has met the minimima regirirements of -e following terms and conditions: 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 permanentman-made savc~a~e(s) in eJOStence 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(4xe), C.RS.). (NOTE: For 110 operations, the affected area includes all lands delineated by the i~t ~vJ 3. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-11~(4j(fj, C.RS.). 4. As the applicantloperator, I do not have slay miniug/exploration 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.RS.). 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.RS. 1984. l7iis form has been approved by the Mused Land Reclamwtion Board pursuant to serxron 3¢32 ~110,GRS, of the Colorado :and Reclamation Act for the F.xtradinn of Construction Materials. Any alteration or modifuxttion of this form shall result n voiding any permit issued on the altered or nmdified form and subjecx the operator to cease and desist orders and civil ~enaUies for operating without a permit pursuant to section 3¢32-123, GRS iignedanddatedthis First day of November 2007 Lincoln County, Colorado Applicant/Operator If Corporation Attest (Seal) Signed: ~ --~~ Title:Land Use Administrator State of ~1~ o ) ss. County of ~ ~~1 ~. ) Town/City/County Clerk The foregoing instnunent was aclmowledged before me this 1 ~ day of t~ av-e ,,,,.la.e,~- Za-o`~ . by ~~~ ,~,~; sow ~ 1-~. ~ u~ Aa .-,..; ~.ti 5~~.- of ~.:; ~.~1 ~. ~~~--~ Notary Public Signed: Corporate Secretary or Equivalent My Commission expires: ~-P~' - ~y . ~ °"5 SIGNATURES MUST BE IN BLUE INK.