|
EXHIBIT I
<br />..... ,-J ,t.. .:,A ,~~'1 ne'r) k r. ,. '^T~.-. ror.v: ' •i err. ., .-. (R c..-r(s~r7 ~~_a J 4_ I Iq.(
<br />i.'.: ._ .:Et3 v: uF _i 1, F[~~ i)~, ,~. _._'
<br />As an authorized representative of the applicant, L hereby certify that the operation descn'bed has met the minimorn requirements of the
<br />following terms and conditions:
<br />1. All necessary approvals from local government have been applied for (Section 3432.5-1 I0(1)(a)(VIII).
<br />2. To the best of my knowledge, all significant, valuable and permanent man-tnado structum(s) in existence at the time this
<br />application is filed, and looted within 200 feet of the proposed affected area have been identified in this application
<br />(Section 3432.5-115(4)(e), C.R.S.). {NOTE: Port 10 operations, the affected area inchrdes ail lands delineated by the permit
<br />boundary.)
<br />3. No mining operation will be located on lands where such operations are proldbited by law (Section 3432.5-115{4)(#),
<br />C.R.S.).
<br />4. As the applicant/operator, I do not have any nniuing/exploration operations in the State of Colorado curttntly in violation of
<br />the provisions of the Colorado Land Reclamation Act for the Extraction of Constntcdon Materials (Section 34-32.5-120, C.R.S. ).
<br />5. I understand that statements in the application are being made under penalty of perjury and that false statements made herein
<br />are punishable as a Class 1 misdemeanor pursuant to Section 18-8.503, C.RS. 1984.
<br />Tkls fornr< has been approved by tke Mlned Land Reclamation Board pursuant to section ,1d-32.S-IIO,C.RS„ of the Colorado Land
<br />Reclamation Act jot tke Eztradien of Construction Materials. Any alteration or »iod ~cution of this form shall result in noidfng
<br />any permit issued an the altered or rnod~7ed jorsn and subJect the operator to cease and desist orders and civU penalties for
<br />operating without a permit pursuant to seeaian 34-32.5-123, GRS ~/r~
<br />Signed and dated this i l ~~ da of ~ CJ`LJ
<br />y , ~::
<br />.- , ~~ 2~
<br />---.G1~~.G ' yg ~ l~,s~ t'~l"f ,~ If Cotporattoni,~A'~tt~f'(Seal) ~ ~, y,`
<br />Applicant/Op ,° ~ .^ '~ ,
<br />erator ~'°~,~~ .
<br />Signed: _
<br />Tifle: ~ .,~,.~e~-, ~ ~ r~ v~~-
<br />State _ ~~~~f~1~,6~(, f )
<br />,Q~~ ~ ) ss.
<br />County of/~~2~~~'~i~~ }
<br />'The foregoing ' t was aclarowled ore me this
<br />o~Dr)J~ , by
<br />~!~~~~
<br />/~O~G~
<br />~.~
<br />r';;
<br />Corporate Sf;cretat~I?gtn ~ '
<br />v v
<br />,STo~rjtfCrty/County.G'lerk
<br />n~ ... r.
<br />~ (f j~ r} I`~ ;1t 'V
<br />t1.. ~ 1 1 -
<br />4 ,'
<br />My Commission expc~s:~ ' Q ~~/
<br />SIGNATURF,S MUST BE IN BLUE INK . `,,s ~. t-~ f~ ~ .~ ~ ,
<br />M:lminlsharalvsfomrslC.ooswctionl ttl (Approved 05/l 1rZ005) : -r ~, .. - ~\ C.
<br />%~
<br />~~ , ~ ~• ~
<br />r
<br />~ r ~j
<br />
|