Laserfiche WebLink
OCT-27-2008 16:25 FROM: <br />-8- <br />TO:919705634238 P.2/2 <br />Certification: <br />As ail authorized Tt:•presentat.ivc nrthe applicant, I hereby ecrtiiy that the operation described has met the minimum n:yuirements <br />of the following tcrri%+ and conditions; <br />1. To the best ormy k110wled8e- 811 sifnifteunt, valuable and permanent man-made structure(s) in existence at tl1c time <br />this application is filed, and located within 200 feet of the proposedafrecte?i area have been idantif-u,'d in this app i' <br />(Section 34.32.5-115(4)(1). C.R.SJ. <br />2. No mining operation will he located On (ands %vhcre such operations are prohibited by law <br />(Section 34-32.5-115(4)(f), C.R.S.: <br />3. As the upplicantlopcrutur, t do not have any extractionlexploration operation,; in the State of Colorado CUITuntly in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials <br />(Section 34.32.5-120. L.R.S.) as determined through a Board finding;, <br />4. 1 understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are pimishable as a Class l misdcme ntor pursuant to Section 18-8-503, CAU. t to <br />Luri 'l'eis furor has been <br />Kx(rl t :Hl orbrict on ivIateriek. Any etlereriant or n odiftcadon of this form shall result`i 1 voiding any <br />Reelaerau Aet for the Exrrpct crioo rt of G <br />partxit issucd on the altered or rrrarfificrl firm and sabJeCr the eperarur to cerrsv and detlcr orders and civil prnaiiies for uperateg <br />without a perwilt pursrtatd to section 34-31.5413, C R.S. <br />Signed and dated this _?. day or- Noy. ? ? - - - - - <br />Ze7 U.I Tri ?A e zy -4-ni ci Tr I If Corporation Arrest (Seal) <br />AMplicant/Operator or C ompany Name <br />r <br />Signed:.. <br />Corptnate Secrctary or Equivalent <br />'?i Town/City/County ClcTk <br />Title: __P.?` <br />State of.. LQ?.... -} <br />iT?; fr,trty}uitit nxcrnTmcnt W?1B sx:frnuwleci;ti??. nYf(`rl trY' T ? <br />(,t <br />Notary Public <br />IN K <br />» t <br />? l M