2010-06-25_PERMIT FILE - M2010048

• Permit No: M2010048
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/25/2010
• Doc Name: New 111 Application
• From: CRCC
• To: DRMS
• Media Type: D
• Archive: No

Certification:
-6-
As an authorized representative of the applicant, 1 hereby certify that operation described has met the minimum requirements of
the following terms and conditions:
All necessary approvals from local government have been applied for (Section 34-32.5-11 1(1)(a)(IX));
This entire mining operation will not affect more than 30 acres;
3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made
structure(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the
applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated for by
the applicant/operator (Section 34-32.5-115(4)(e), C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of
an agreement must be submitted to the Office prior to the decision date.)
4. No mining operation will be located on lands where such operations are prohibited by law
(Section 34-32.5-115(4)(0, C.R.S. 1984, as amended);
5. As the applicant/operator, I do not have any mining/exploration operations in this 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.R.S. 1984, as amended) as determined through a Board finding.
6. 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.R.S. 1984, as amended.
This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32.5-111,C.B.S., of the Colorado
Land Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of this form shall result in
voiding any permit issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties for
operating without a permit pursuant to section 34-32.5-123, C.R.S.
Signed and dated this 7 day of -'C-
Castle Rock Construction
Company of Colorado. LLC
Applicant/Operator
By:
A? 14_e?
Title: COO
State of )
)ss.
County of
The foregoing instru o
by Ralph Bell as

If Corporation Attest (Seal)
By:
Corporate Secretary or Equivalent
Town/City/County Clerk
ledged before me this day of eto/O
Construction Company of Colorado, LLC
? 0
Notary P 1i
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My Commission expires:
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