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bole <br /> General Shale <br /> Building The American Dream® <br /> Enc: Affidavit and Check for TR Fee <br /> AFFADAVIT <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, Harold Stickler, certify the following: <br /> To my knowledge the scrap brick generated from General Shale Brick's Denver plant is inert and contains no <br /> contaminants of any kind. This material will be placed at the General Shale Brick, Inc.'s Ute Mine as structural <br /> fill and should have no impact upon environmental conditions at the mine site. <br /> Signature: �� -- Title: Plant Manager <br /> Date: <br /> Subscribed-and sworn to Wore me in the county of � Colorado, <br /> this k day of L7 e `f V 1 My cEommission expires <br /> jUL1A pALUMBO <br /> NOTARY PUBUG <br /> STATE OF COLORADO <br /> NOTARY102015Q25370 Notary Public Signature <br /> WOOMMISSION p(pIRE3 DUNE 29,2019 <br />