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2014-09-17_REVISION - M1978009
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2014-09-17_REVISION - M1978009
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Entry Properties
Last modified
6/16/2021 5:51:51 PM
Creation date
9/18/2014 8:43:45 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978009
IBM Index Class Name
Revision
Doc Date
9/17/2014
Doc Name
TR Submittal- Inert Fill Import.
From
General Shale Brick
To
DRMS
Type & Sequence
TR1
Email Name
TAK
TC1
Media Type
D
Archive
No
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0010 <br /> General Shale <br /> Building The American Dream <br /> Enc: Affidavit and Check for TR Fee <br /> FAFFADAVIT <br /> Per rule 1.1.20 Inert material is defined as <br /> "means non-water-soluble and non-putrescible solids together with such minor amounts and types of <br /> other materials, unless such materials are acid or toxic producing, as will not significantly affect the inert <br /> nature of such solids. The term includes, but is not limited to, earth, sand, gravel, rock, concrete which <br /> has been in a hardened state for at least sixty days, masonry, asphalt paving fragments, and other inert <br /> solids." <br /> I, Anthony Fabrizio certify the following: <br /> To my knowledge the scrap brick and scrap block generated from General Shale Brick's Denver brick plant <br /> and Colorado Springs block plant respectively is inert and contains no contaminants of any kind. This material <br /> will be placed at the General Shale Brick, Inc.'s Apache Mine as structural fill and should have no impact upon <br /> environmental conditions at the mine site. <br /> Signature: Title: Regional Production Manager <br /> Date: A- ZZ ' lam) <br /> Subscribed and sworn to before me in the county of Colorado, <br /> this �a day of U S� ad�"[. My commission expires . <br /> Notary Public Signature <br /> LOWELL A PAINE <br /> STATE OF COLORADO <br /> NOTARY ID 20084025965 <br /> MY COMMISSION EXPIRES AUGUST 10,2016 <br />
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