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Agreement to Conduct Permitting by Electronic Means <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty <br />(30) days in the event that his/her authorization to execute ePermitting Documents <br />on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />Peter Siegmund <br />Affiant's name <br />STATE OF: <br />COUNTY OF: <br />Notarized Affidavit of Signature <br />Colorado <br />Mesa <br />ss. <br />The foregoing instrument was acknowledged <br />before me this 025 day of 4-6 (uq r-1 , 2016 by <br />(date) (month) (year) <br />as <br />Peter Siegmund Assistant Secretary <br />(Name of permittee representative) (title) <br />of <br />(seal) <br />My Commission expires: <br />April l 'i9/9 <br />Oldcastle Southwest Group, Inc. dba United Companies <br />(permittee) <br />Page 5 of 6 <br />\c.uJu-t 1`I /61J <br />NOTARY PUBLIC <br />GENEVIEVE. M. BLEC A <br />1\10TARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID #19914003259 <br />4y Commission Expires April 4, 2019 <br />