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2012-12-04_REVISION - M2001085 (3)
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2012-12-04_REVISION - M2001085 (3)
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Last modified
6/15/2021 5:47:19 PM
Creation date
12/4/2012 12:28:17 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001085
IBM Index Class Name
REVISION
Doc Date
12/4/2012
Doc Name
Attached Cross-Section and Affidavit
From
120th Estate Partners
To
DRMS
Type & Sequence
AM6
Email Name
BMK
Media Type
D
Archive
No
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State of Colorado <br />County of <br />BEFORE ME, the undersigned Notary, j4fka . b [name of Notary before whom <br />affidavit is sworn], on this [day of the month] of - eeeMkr,- [month], 2012_ personally appeared <br />-rr L► ��,��, [name of affiant], known to me to be a credible person and of lawful age, <br />who being by me first duly sworn, on ,14;3 [his or her] oath, deposes and says: <br />1. I am the Managing Partner of 120 85 LLC, a Colorado Corporation. <br />2. We are accepting inert landfill material from approved providers. <br />3. We do not accept any material that does not meet the definition of inert material contained in <br />Rule 1.1(20): <br />4. We have posted signs and provide written notice to all persons that deposit material regarding <br />the materials allowed on the site. <br />5. We maintain a daily log of each load and only accept material from jobs that are known to have <br />only clean inert aterial. <br />[signature of affiant] <br />Eric B. Fenster, P.O. Box 44011, Denver, CO 80201 <br />Subscribed and sworn to before me, this [day of the month] day of -j cec.nt_bete., [month], 20 1.2 <br />[Notary Seal] <br />[Signature of Notary] <br />v4le yet. <br />Inert Material means non -water soluble and non - putrescible solids together with such <br />minor amounts and types of other materials, unless such materials are acid or toxic <br />producing, as will not significantly affect the inert nature of such solids. The term <br />includes, but is not limited to, earth, sand, gravel, rock, concrete which has been in a <br />hardened state for at least sixty (60) days, masonry, asphalt paving fragments, and <br />other inert solids. <br />ALEXA Go <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 1 20084007181 <br />MY COMMISSION EXPIRES NOVEMIER 21, 271C <br />[Typed name of Notary] <br />NOTARY PUBLIC <br />My Commission expires: /1/21// <br />l/ <br />GENERAL AFFIDAVIT <br />
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