Laserfiche WebLink
ILION <br />Signed and dated this <br />Roger Tichenor-CEO <br />State of f <br />) ss. <br />cminvof S4W01 ) <br />The foregoing instrument viasacknoWiedged before me this <br />Applicant/ <br />by as of <br />rustaiy POne State or Ftoikia <br />Kimbeity E Lappin <br />ntic«iunislon Egoi4 o <br />aossvomou <br />- 8 •- <br />Certificatient <br />As an authorized representative of the applicant, 1 hereby certify that the operation described has met the minimum requirements ofthe <br />following terms and conditions: <br />1. This mining operation Will not adversely affect the stability ofany significant, valuable and permanent man-made shticture(s) <br />located within - two hundred (200) feet ofthe affected lands, (HoweVer, where there is an agreement betweenthe applicant/operator <br />Mid the having an interest in the structure that damage to the strueture is to be compensated for by the applicant/operator <br />(SectiOn 834-32-115(4)(d), CRS. 1984, as arnended), then mining may occur within 200 feet Proof of an agreement must be <br />submitted to the Office prior to the decision date.) <br />2. No mining operation will be located on lands where such operations are prohibited bylaw (Section 34-32-115,(4)(f), <br />1984, as amended); <br />3. As the appl !cant/Operator, Ido not have any mining/ProspectIng operations in this state ofroloradO currently in violation ofthe <br />provisions of the Mmed Land Reclamation Act (Section 34-324120, CRS. 1084, as amended) as determined through a Board <br />finding. <br />4. 1 underStand that *ten-tents in the:application arp being Made under penalty ofpedury and that false staternents Made herein are <br />punishable as a Class I Misdemeanor pursuant t� Section 184-503, 'C.R.S. 1984, is arnerided. <br />TItiS form has been approved by the Alined Land Reclamation Iloard pursuant to section 34 of the *tied 4attd <br />ReclantationAct Awn/tern/ion& moth:flea/ion ofthisfornt shall malt in vohline a4Permit issued on the allered or modifledform <br />and syhject the operator to cease and desist orders and civilpenalties for operating vithout opernz t pitistitint to section 34-32-123, <br />da of e -C.M. 1 0 -( r; °C1 <br />Wildcat Mining Corpotation <br />If Corporation Attest (Corporate/County Seal) <br />Sipature: \ . , <br />Corporate Sepretary or Equivalent <br />Town/City/County Clerk <br />day of <br />COMOOK7 26VC) <br />/ <br />& ,.... ... -"" <br />Lary Public <br />7 My Commission expires: 10 0 2a4 <br />