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AFFIDAVIT <br /> STATE OF COLORADO ) <br /> ss. <br /> County of ) <br /> The undersigned Affiant is importing inert structural fill materials,including but not limited to earth, <br /> sand, gravel,rock, concrete which has been in a hardened state for at least sixty(60)days,masonry, <br /> asphalt paving fragments and other inert solids from a variety of off-site sources within the vicinity of the <br /> Longmont Operation site from time to time as such inert materials from excavation activities for construction of <br /> basements and buildings,land clearing,demolition projects,and road and highway construction become available. <br /> The Longmont Operation sand and gravel mine is operated by Aggregate Industries-WCR, Inc. (AI) <br /> under Division of Reclamation,Mining and Safety Permit No. M-1994-027, located in the SE % SW 1/, <br /> Section 9,NW '/ Section 16 and E '/z NE '/ Section 17, all in Township 2 North,Range 68 West, Weld <br /> County, Colorado. Affiant hereby certifies and affirms that said soils are inspected and accepted in <br /> accordance with AI's Inert Material Acceptance Policy to assure that they are clean and inert and that no <br /> known materials contained in said soils would significantly affect the inert nature of these soils,nor shall <br /> there be any acid forming materials or toxic producing materials in said soils. <br /> Affiant further certifies and affirms that should it be determined that any soil provided to Al is <br /> contaminated with any regulated pollutant and/or poses environmental harm, such contaminated material <br /> shall be removed, disposed of and negative impacts mitigated in accordance with AI's Inert Material <br /> Acceptance Policy. <br /> Dated this C?d day of �, 2016. <br /> AFFIANT: <br /> Aggregate Industries-WCR, Inc. <br /> Title: )l F, 7 tz _ Z Aw-V Cri v; n-0 IV <br /> Subscribed and sworn to before me this ? 'day of j4w " , 2016 by <br /> Direefur, <br /> 1,9i'e-4ae/ `er , asLah�l �ndirow.r�•�Jbf �� e�k�� Ti.o�asJ�r.<t-zwe-t,.,r- <br /> e. <br /> Witness my hand and official seal. <br /> CONNIE N.DAVIS <br /> ( SEAL) NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 19894002156 Notary Public <br /> MY COMIMSSION EXPIRES MARCH 7 2017 <br /> My Commission expires: 7. '20/ 7 <br />