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2022-09-14_REVISION - M2020065 (2)
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2022-09-14_REVISION - M2020065 (2)
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Last modified
12/28/2024 10:00:12 PM
Creation date
9/15/2022 8:17:47 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2020065
IBM Index Class Name
Revision
Doc Date
9/14/2022
Doc Name
Request for Technical Revision
From
Bengineers LLC
To
DRMS
Type & Sequence
TR1
Email Name
CCW
THM
AWA
Media Type
D
Archive
No
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Affidavit for Import of Materials into Mystic Soil <br /> Date or Time Period of Import: <br /> Description of Import Material: <br /> Entity Providing Material to Mine (not the trucking Company): <br /> I hereby certify that the material described above and brought to the Mystic Soil site is inert, <br /> which means it is free from any chemicals, toxic substances, acid forming material, or any other <br /> material which 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 /> Mystic Soil <br /> November 2020 -7 Lewicki&Associates <br />
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