Laserfiche WebLink
-8- <br />Cn1Wcatl2n <br />As an authorized representative of the applicant. 1 hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge. all significant, valuable and permanent Man -trade structure(s) inexistence at the time <br />this application is filed, and located v ithin 300 feet of the proposed affected area have been identified in this application <br />(Section 34- 32.5- 115(4)(e). C.R S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 34- 33.5- 115(4)(f). C.R.S.; <br />3. As the applicantioperator. I do not have any extractionrexploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials <br />(Section 3432.5 -120. C.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 punishable as a Class 1 misdemeanor pursuant to Section 18 -8 -503. C.R.S. <br />This fern► has been approved by the 111ned Land Reclamation Board pursuant to section 3J 3- .5- 11.,CR.fi, of the Colorado Laud <br />Reclamation .dct for the Extraction of Constntction 3laterial s..4tkt' alteration or modification of this form shall result in voiding ani. <br />permit issued on the altered or modifted forin and subject the operator to cease and desist orders and civil penalties for aperatiug <br />►vithout a permit pursuant to section 34-32-5-123- CPS- <br />Signed and dated this day of JULY 2010 <br />JBS Five Rivers Cattle Feeding LLC If Corporation Attest (Seal) <br />AppficaWOperitor or Company N.'ame •/ <br />Sieved: <br />Michael Thoren <br />Tide: CE and President, JBS Five Riv ers Cattle Feeding LLC <br />State of Colorado <br />ss. <br />County of Weld 1 <br />Signed: <br />Corporate Secretary or Equivalent <br />To County Clerk <br />The foregoing instrument was acknowledged before me this day of JULY , 2010 <br />b Michael Thoren as CEO and President of JBS Five Rivera Cattle Feeding LLC <br />Notary Public <br />Any commission exp <br />SIGN:#TURES MUST BE Ei BLUE LN <br />You must post sufficient Notices at the location of the proposed mine site to clearly identify the site as the location of a <br />