2022-11-22_REVISION - M2015030 ‎(2)‎

• Permit No: M2015030
• IBM Index Class Name: Revision
• Doc Date: 11/22/2022
• Doc Name: Request For Amendment To Permit
• From: Asphalt Specialties CO
• To: DRMS
• Type & Sequence: AM2
• Email Name: ECS
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

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AFFIDAVIT
I, Daniel W. Hunt of Asphalt Specialties Co., Inc. (ASCI) hereby certify that only clean
and inert material will be imported at Chavers Mining Resource (DRMS Permit No. M-
2015-030). All material will adhere to the Division's defmition of Inert Material as
defined in Rule 1.1(22).
Daniel W.Hunt,President
Asphalt Specialties Co.,Inc.
State of Colorado )
)ss
County of
r,
The foregoing instrument was acknowledged before me this I S ay of i <1 I . , 20,L.:�_,
by can eL;`k . f 4 a as
{
Notary Public
My Commission expires:
F
N NELSON
ARY PUBLIC
OF COLORADO
Y ID 19994M27
W Expires April 28,2024