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2018-08-21_GENERAL DOCUMENTS - M1977436
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2018-08-21_GENERAL DOCUMENTS - M1977436
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Entry Properties
Last modified
3/5/2021 5:46:05 AM
Creation date
8/21/2018 12:15:28 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977436
IBM Index Class Name
General Documents
Doc Date
8/21/2018
Doc Name Note
Materials Import Notice
Doc Name
Inert Fill Notice
From
Aggregate Industries
To
DRMS
Email Name
JLE
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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AFFIDAVIT <br /> STATE OF COLORADO ) <br /> )SS. <br /> County of 0- 1/61 <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 /> Brighton Mine site from time to time as such inert materials from excavation activities for construction of basements <br /> and buildings, land clearing,demolition projects,and road and highway construction become available. The <br /> Brighton Mine is operated by Aggregate Industries-WCR,Inc. (AI)under Division of Reclamation, <br /> Mining and Safety Permit No. M-1977-436, and is located in Section 14,Township I South, Range 67 <br /> West, Adams County, Colorado. Affiant hereby certifies and affirms that said soils are inspected and <br /> accepted in accordance with AI's Inert Material Acceptance Policy to assure that they are clean and inert <br /> and that no known materials contained in said soils would significantly affect the inert nature of these <br /> soils,nor shall 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 Al's Inert Material <br /> Acceptance Policy. <br /> Dated this day of , 2018. <br /> AFFIANT: <br /> Aggregate Industries-WCR, Inc. <br /> By: `SOVVA e al <br /> Title: <br /> Subscribed and sworn to before me this I(.0+day of Au Vt + 2018 by <br /> i J Q(`� t�i %►r1 ,as � • 1'Vl , of <br /> Witness my hand and official seal. <br /> SARAH GREGA <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> ( SEAL) NOTARY 0 20174007757 1 <br /> MY COMMISSION EXPIRES FEBRUARY 21,2021 Notary Public by <br /> My Commission expires: <br />
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