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AFFIDAVIT OF RECEIPT <br />This document holds that the Colorado Departrnent of Public Health and <br />Environment -Water Quality Control Division has received an application for a <br />General Stormwater Discharge Permit from Clear Creek District Water Providers, <br />LLC for the MMRR Quarry. Also included with the application form: <br />Letter from Paul Banks to Gary Beers, September 15, 2005 <br />Geologic Site Survey by Jim A. Paschis, August 14, 2005 <br />Dated this day of 1~(~ ~ , 2005 <br />y~- <br />~~~ <br />Signature <br />Title <br />C'~ ~ hlt' ~ ('~ Cn'~ `'/ %/ <br />Printed Name <br />