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Affidavit for Import of Materials into the Douglas Mountain Ranch <br /> 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 Douglas Mountain Ranch <br /> Mine is inert. Inert is defined as free from any chemicals,toxic substances, acid forming <br /> material, or any other material that would violate the material waste disposal laws of the State of <br /> Colorado. <br /> Signature Written Name of Signer <br /> Signer's Position in Company Company <br /> Date: <br /> DMR <br /> September 2018 D-9 <br />