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2019-04-09_GENERAL DOCUMENTS - M2004051
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2019-04-09_GENERAL DOCUMENTS - M2004051
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Last modified
12/27/2024 1:02:57 PM
Creation date
4/10/2019 12:30:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004051
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
4/9/2019
Doc Name
Notice of Materials to be Imported for Backfill
From
Aggregate Industries
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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EXHIBIT D—AFFIDAVIT <br /> STATE OF COLORADO ) <br /> ss. <br /> County of J rso n ) <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 /> WATTENBERG LAKES mine from time to time as such inert materials from excavation activities for <br /> construction of basements and buildings, land clearing,demolition projects,and road and highway <br /> construction become available. The WATTENBERG LAKES mine is operated by Aggregate Industries- <br /> WCR, Inc. (Aggregate)under Division of Reclamation,Mining and Safety Permit No. M-2004-051, and <br /> is located in Sections 25 and 36,Township 1 North,Range 67 West,and Section 30 Township 1 North, <br /> Range 66 West,Weld County,Colorado. Affiant hereby certifies and affirms that said soils are inspected <br /> and accepted in accordance with Aggregate's Inert Material Acceptance Policy to assure that they are <br /> clean and inert and that no known materials contained in said soils would significantly affect the inert <br /> nature of these soils,nor shall there be any acid forming materials or toxic producing materials in said <br /> soils. <br /> Affiant further certifies and affirms that should it be determined that any soil provided to <br /> Aggregate is contaminated with any regulated pollutant and/or poses environmental harm, such <br /> contaminated material shall be removed,disposed of and negative impacts mitigated in accordance with <br /> Aggregate's Inert Material Acceptance Policy. <br /> Dated this day of March,2019. <br /> AFFIANT: <br /> Aggregate Industries-WCR, Inc. <br /> Signature: &Z <br /> B� ,Name: �e� � C <br /> Title: Lawj & En 0 i l� r. <br /> G�rc� <br /> Subscribed and sworn to before me this g day of m 2019 by <br /> Joe-1 �D(�u►G , as Cam. y i it .Roy-. , of�GGWATF 1MV 1yTRIF&M <br /> Witness my hand and official seal. <br /> TERRI L. CHASTAIN �� <br /> NOTARY PUBLIC <br /> ( SEAL) STATE OF COLORADO `�� C8 <br /> Notary Public <br /> My Commission expires: w �a Sll9 <br />
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