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2016-03-15_GENERAL DOCUMENTS - M1974086
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2016-03-15_GENERAL DOCUMENTS - M1974086
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Last modified
10/17/2020 11:22:52 PM
Creation date
3/16/2016 8:00:45 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M1974086
IBM Index Class Name
General Documents
Doc Date
3/15/2016
Doc Name
Agreement to Conduct Permitting by Electronic Means
From
Asphalt Paving
To
DRMS
Email Name
MAC
SLB
Media Type
D
Archive
No
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Agreement to Conduct Permitting by Electronic Means <br /> Affidavit of Authority to Agree to Conduct Electronic Permitting <br /> The Colorado Mined Land Reclamation Board("Board') has adopted the attached Affidavit ofAuthority <br /> to Execute ePermitting Documents pursuant to the Mined Land Reclamation Act (C.R.S. 34-32-101 et. <br /> seq) and the Land Reclamation Act for the Extraction of Construction Materials (C.R.S. 34-32.5-101 et. <br /> seq.) . The Board and the Division of Reclamation Mining and Safety ("Division') have determined that <br /> it is necessary to verify the legal authority of the individual signing necessary documents. <br /> Accordingly,you mustprovide confirmation of the legal authority of the individual signing all ePermitting <br /> documents to the Division. You may do so either by submitting a resolution of the decision-making body <br /> of your company that authorized an individual to sign the Opt-In Agreement on the company's behalf, or <br /> by completing and notarizing the attached affidavit. The Division reserves the right to require the <br /> attached affidavit in all circumstances. Please note that if you are a sole proprietor who is executing <br /> documents on you own behalf, documentation of legal authority is unnecessary. <br /> Before me this day, the undersigned � 'LL-� �- (j1'7P&�719ti' <br /> [name of authorized person] <br /> in his/her capacity as yie '��o t l-)6X17— <br /> [title of authorized person] <br /> ("Affiant"), personally appeared and, <br /> being first duly sworn upon oath said: <br /> 1. This affidavit is being executed and <br /> submitted on behalf ofj° -LT <br /> [name of business organization] <br /> a(n) �i ',l- �I PA.) <br /> [legal form of business organization, e.g., <br /> corporation, partnership, limited liability <br /> company, etc.,] <br /> in good standing in the State of Colorado (the "Company"). <br /> 2. It is in the interest of the Company to conduct certain electronic permitting actions <br /> which are required by the Colorado Mined Land Reclamation Board and Division <br /> of Reclamation Mining and Safety pursuant to Colorado law ("ePermitting"). <br /> 3. Affiant is duly authorized to sign such ePermitting Documents on behalf of the <br /> Company and to bind the Company to the same. <br /> 4. Affiant is not prohibited or limited by the Company's governing documents or by <br /> any applicable law from executing the ePermitting Documents. <br /> Page 4 of 6 <br />
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