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2023-10-03_REVISION - M1993004
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2023-10-03_REVISION - M1993004
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Last modified
10/4/2023 8:37:31 PM
Creation date
10/4/2023 8:29:49 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1993004
IBM Index Class Name
Revision
Doc Date
10/3/2023
Doc Name
Request for Technical Revision
From
General Shale
To
DRMS
Type & Sequence
TR3
Email Name
JR2
AME
AWA
Media Type
D
Archive
No
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0010 <br /> General Shale <br /> Building The American Dream® <br /> AFFADAVIT <br /> Per rule 1.1.20 Inert material is defined as <br /> "means non-water-soluble and non-putrescible solids together with such minor amounts and types of <br /> other materials, unless such materials are acid or toxic producing, as will not significantly affect the inert <br /> nature of such solids. The term includes, but is not limited to, earth, sand, gravel, rock, concrete which <br /> has been in a hardened state for at least sixty days, masonry, asphalt paving fragments, and other inert <br /> solids." <br /> I, Houston Walker certify the following: <br /> To my knowledge the scrap brick generated from General Shale Brick's Denver brick plant is inert and contains <br /> no contaminants of any kind. This material will be placed at the General Shale Brick, Inc.'s Navajo Mine M-1993- <br /> 004as structural fill and should have no impact upon environmental conditions at the mine site. <br /> Signature: Title: Plant Manager <br /> Date: <br /> Subscribed and sworn to before me in the county of M�� e ,Colorado, <br /> this (�� day of 3,( UAe c , ?A23. My commission expires,07/07/W&7 <br /> Notary Public Signature <br /> AMBER RICHARDSON <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20234025641 <br /> MY COMMISSION EXPIRES JULY 7,2027 <br />
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