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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 /> S ignaturq <br /> Notarized Affidavit of Si nature_ <br /> STATE OF: � ) <br /> COUNTY OF: ) ss. <br /> The foregoing inst me was acknowledged <br /> before me this // �-- day of �c by <br /> (date) (month) f (year) <br /> as <br /> (Name of pdrmittee rep a entative) (title) <br /> of <br /> CAROL WRIGHT (perms ee) <br /> NOTARY PUBLIC <br /> STATE DO <br /> 10 200940 <br /> NOTARY ID#20094040322 <br /> MY COMMISSION EXPIRES DECEMBER 09.2017 <br /> NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />