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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 /> Affiant's name <br /> Signature`, <br /> Notarized Affidavit of Signature <br /> STATE OF: � ) <br /> � a <br /> COUNTY OF: ) ss. <br /> The foregoing ins me was acknowledged p, <br /> before me this /l day of by <br /> (date) (month) (year) <br /> S_4� Ci as f i1C__Q- <br /> (Name of p mittee rep a entative) (title) <br /> of � - <br /> ct�z., <br /> CAROL WRIGHT (permi ee) <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY IDX #ES DECEMBE 0 <br /> MY COMMISSION EXPIRES DECEMBER 09,201l <br /> NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />