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Limited Power Of Attorney <br />1,40;_"11 '` �— <br />l4i 1 , residing at <br />5550 7 / S. r -e%'G.�c co <br />, hereby appoint <br />o of ' ' - _ as my Attorney -in -Fact <br />(Agent") to sign 1 required Colorado Division of ' eclamation, Mining and Safety related forms for the <br />Limited Impact Operation (110(1)) Reclamation Permit. <br />This Power of Attorney shall become effective immediately and shall not be affected by my disability or <br />lack of mental competence, except as may be provided otherwise by an applicable state statute. This is a <br />Limited Power of Attorney. This Limited Power of Attorney shall continue until December 31, 2015. This <br />Limited Power of Attorney may be revoked by me at any time by providing written notice to my Agent. <br />Dated 7 / 7 , 20`5 at if\ rA yi d kY , j cx'vi I(1 CO , <br />YOUR SIGNATURE: <br />YOUR PRINTED FULL LEGAL NAME: <br />541146r -v1 Sari42,& <br />WITNESS' SIGNATURE: <br />WITNESS' PRINTED F LEGAL NAME: <br />WITNESS' SIGNATURE: <br />WITNESS' PRINTED FULL LEGAL NAME: <br />STATE OF CO OADO <br />COUNTY OF 0 SS <br />Subs ibed and s • to before me <br />this. d v of _ IPoipp .. 20 �� A.D. <br />fell.`!/r J <br />Notary Public i <br />My Commission Expires . 1 <br />OMI N. Washington. Thornton. CO 80229 <br />KAITLYN M. HEIN <br />NOTARY PU$UC <br />STATE OF COLORADO <br />NOTARY ID 20144029923 <br />MY COMMISSION EXPIRES 07,3012018 <br />