Laserfiche WebLink
Affidavit for Import of Materials into the Alma Placer Mine <br /> Date or Time Period of Import: <br /> Description of Import Material: <br /> Entity Providing Material to Pit (not the trucking Company): <br /> I hereby certify that the material described above and brought to the Alma Placer Mine is inert, <br /> which means it is free from any chemicals, toxic substances, acid forming material, or any other <br /> material that 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 /> Alma Placer Mine _..,t ts�wli and hr,xmty%1113 <br /> December 2017 D-15 <br />