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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 />/'✓fic o S . .ie-R-Sfel.e - <br />Affiant's name <br />STATE OF: <br />COUNTY OF: <br />Notarized Affidavit of Signature <br />fJou j1oO5 <br />ss. <br />The foregoing instrument was acknowledged <br />before me this -5.--HA day of <br />(date) <br />as <br />m,cho,.Q..1 5. Jr-010,�dl <br />(Name of permittee representative <br />f <br />WENDIE M ELLIOTT <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID # 20064042200 <br />MY COMMISSION EXPIRES OCTOBER 16 2018 <br />i <br />(seal) <br />My Commission expires: <br />AP( ` ,Golly by <br />(month) (year) <br />(f'1 cxiYi ct 0 ► n N J a1 e(M' 41-01/r- <br />(title) <br />1- 1 � <br />(title) <br />of _ <br />6 & n c� e L -LP <br />(permittee) <br />10 I1colac'1� <br />C �/J1/Yl C Vic. -c <br />Page 5 of 6 <br />NOTARY PUBLIC <br />