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Affidavit for Import of Materials into Trout Valley Ranch <br /> Date or Time Period of Import: <br /> Description of Import Material: <br /> Entity Providing Material to Mine(not the trucking Company): <br /> I hereby certify that the material described above and brought to the Trout Valley Ranch site is <br /> inert,which means it is free from any chemicals,toxic substances, acid forming material, or any <br /> other material which would violate the material waste disposal laws of the State of Colorado. <br /> Signature Written Name of Signer <br /> Signer's Position in Company Company <br /> Date: <br /> Trout Valley Ranch November 2016 D-8 / Gnx l cwicki and Associntm PIA d' <br />