Laserfiche WebLink
7- <br />Certification: <br />As an authorized representative of the applicant. I hereby certify that the operation described has met the minimum requirements of the <br />following temts and conditions: <br />1. All necessary approvals from local government have been applied for (Section 34-32.5-1 10( 1)(a)(VIIi). <br />2. I'o the best of my knowledge, all significant, valuable and perr anent man-made structure(s) in existence at the time this <br />application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-1 15(4)(e), C.R.S.). (NOTE: For 110 operations, the affected area includes all lands delineated by the permit <br />bon.mdary. ) <br />3. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-11 5(4)(f), <br />C. R.S. ). <br />4. As the applicant, operator, i (it) not have any mining exploration operations in the State of Colorado currently in violation of <br />the provisions ofthe Colorado Land Reclamation Act for the Extraction ofConstntetion Materials (Section 34-32.5-120, C'.R.S. ). <br />5. 1 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 i misdemeanor pursuant to Section 18-8-503, C.R.S. 1984. <br />This form has been approved hr the ,Mined Land Reclamation Board pursuant to .section 34-32.5-110,C . R.R., of the Colorado Land <br />Reclamation :-let for the hmraction of Construction ;Materials.: nY alteration or modification of this form stall result in voiding <br />ath' permit issued on they altered or modified Jorm and subject the operator to cease and desist orders and civil t enalties for <br />operating without a permit pursuant to section 34-32.5-123, C.R.S: <br />Signal and dated this t 1 clay of _ --{,\ t ; ?:.A--, <br />Walsenburq Sand and Gravel Compamy <br />Applicant'Operator <br /> <br />If Corporation AttestjScal) <br />Signed: _ t1 <br />l'itle: president <br />State of <br />SS. <br />ounty Of 'L Ir <br />Signed: r ' r<- <br />Corporate Secretary of Equivalent <br />Town: City County Clerk <br />1 be foregoing instrument was acknowledged before me this 11 day of - r- C . -17?7_t, .l' `.?../ <br />bY,c,us as (if <br />ti I <br />\otarv Public <br />My Commission expires: - 1-t <br />SI(,\,\ 1 RES NIt'S l RV I\ lil.l F: \F: <br />1