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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 of Authority <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 must provide 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 <br />[name of authorized person] <br />in his/her capacity as /n/4-710-4 ("VCx 44-oe_7711L< <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 of 54rAv23M+/C.0 r,lv'—sr7--4/75 <br />[name of business organization] <br />a(n) 4/A-t,.,°;-7+1E<5/frt47 <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 />