Laserfiche WebLink
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 terms and conditions: <br />1. This mining operation will not adversely affect the stability of any significant, valuable and permanent man -made <br />structure(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between <br />the applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated <br />for by the applicant /operator (Section 834- 32- 115(4)(d), C.R.S. 1984, as amended), then mining may within 200 feet. <br />Proof of an agreement must be submitted to the Office prior to the decision date.) <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section 34- 32- 115(4)(f), <br />C.R.S. 1984, as amended); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in this state of Colorado currently in violation <br />of the provisions of the Mined Land Reclamation Act (Section 34 -32 -120, C.R.S. 1984, as amended) as determined <br />through a Board finding, except that the Mined Land Reclamation Board issued "Findings of Fact, Conclusion of <br />Law, and Order ", Cotter Corporation, File No. M -1977 -300, MV- 2010 -030, served August 11, 2010, both of which <br />have been appealed by Cotter Corporation (N.S.L.). <br />4. 1 understand that statements in the application are being made under penalty of perjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18 -8 -503, C.R.S. 1984, as amended. <br />This form has been approved by the Mined Land Reclamation Board pursuant to Section 34 -32 -112, C.R.S., of the Mined Land <br />Reclamation Act. Any alteration or modification of this form shall result in voiding any permit issued on the altered or modified <br />form and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to Section <br />34 -32 -123, C.R.S. <br />Signed and dated this day of <br />Applicant/Operator Name <br />Signature: <br />Title: <br />State of <br />)ss. <br />County of ) <br />by <br />The foregoing instrument was acknowledged before me this day of <br />as of <br />7 <br />If Corporation Attest (Corporate/ County Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town /City/County Clerk <br />Notary Public <br />My Commission expires: <br />