Laserfiche WebLink
Permit - J -per Confidental?: _ <br />Class: Type-Seq.: <br />From: „n Y,.cTo~ l'LtS <br />,j Doc. Name: e.R <br />Doc. Date (if no ate stamp): v - 8 - <br />Certllieat/on: <br />As an suthoriud representative of the applicant, I herebycatify that the operation desen'bed has met the am»nnmrregrtiretrrerrls <br />of the following terms and conditions: . <br />1. To the best of my knowhxlge, all sigmficattt, valuable and permanent man-made structure(s) in existenrx at the time <br />this application is Sled, and loafed within 200 feet of the proposed affected area have been identified in this application <br />(Section 3432.5-115(4xe), C.RS.). <br />2. No -mining optrati~ will ' be located on lands where such operations are prohibited by law <br />(Section 3432.5-115(4xf), C.RS.; <br />3, As the spplicant/operator, I donut haveany extraction/exploration operations in the State of Colorado ctttrently in <br />violation of the provisions of the Colorado Land Reclamation Act for the F,xkaction of Constracdon Materials <br />(Section 3432.5-120, CRS.}as determined through a Board finding. - <br />4. I understand that statements in theapplication are being made under penalty of perjury and that false staterrrems <br />made herein are purrishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. <br />71ute fora iaa been approval by tit itfirel Gad Jt'tclawattow Doan pwrawawr b etcalew 31.4L3-111.C.a.S, ojdYe Colorrfo Lww1 <br />Rttfaautlea,letjerdYei3aajCoaadaeaarMwtaia/a. MyaBerrNew~rwol{Jleatlowojtilsjorwaid/rowUlwooluw8awy <br />pdadt irawcl.w fie aherief N wel{fta/jorar awI arbJset tie optrafar rs eras awr lealat eNera aw/ e~pewahlts j.. apeMlwg <br />wdMrewt a pienrbt pwrwawt m aecalow 31-325-I?3, C1LS ,,,,~ ~~uera„~~,;, <br />,,.~`, ~.~ L: e <br />~~r <br />Signed and dated this ~ day of ADD 7 ~`~ ~:f~C •,•.' ~y c• P~,``s <br />Glenn E. Sessions & Sans, Inca <br />Applicaut/Operator or Company Name <br />Signed: /~~ ~~ <br />Title: Vice President ~ _ _ <br />IfCa~rporationAttest(Seal)~ ~~. C~3C/ <' eE~ <br />C~ c v. <br />V 4, 4 A e. . C A S ~~ _.i~ <br />G0 Signed: V ~t`IKIJC~>IP~K~'7LCJt- <br />4 <br />R~G~`v Coiporate Secretary or Equivalent <br />~~~ `t:~ 1~0~. Town/City/Courriy Clerk <br />Stateof_ S/"~.f ) O~v~M`~~r9a bS~e~Y <br />ss. <br />County ot~Q.~.a/7f~ 1 <br />The foregoi~ instrument was acknowledged before me this ~ ~ day of <br />p?pg2, by ODE SE'~3/ri~tS as <br /> <br />My Commission expires: <br />'~J~SMUST BE IN BLUE 11VK <br />M:hmh4M~aMm,`Caa~trueBm 112.doe (Approved 05/112005) <br />