GENERAL40406

• Permit No: M1978349
• IBM Index Class Name: General Documents
• Doc Date: 3/21/1996
• Doc Name: MINE ID M-78-349 NOTICE OF INTENT TO BACKFILL WITH INERT MATERIAL RULE 3.1.5 9
• From: CASEY CONCRETE CO
• To: DMG
• Media Type: D
• Archive: No

• • Exhibit "C" •
AFFIDAVIT OF CLEAN & INERT MATERIAL
To Whom It May Concern:
Please be advised that all material to be backfilled by
Casey Concrete in regards to Mine M78-349 will be clean and
inert.
DICK CASEY C NC TE CO WITNESS
,~
Shawn Vondette