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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 /> CI c-L1 L . <br /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> Tda-hU <br /> COUNTY OF: ) ss. <br /> ila 1- <br /> The foregoing instrument was acknowledged <br /> before me this4-4"6' day of �r , O 1 jy by <br /> (date) (month) (year) <br /> as <br /> t?OLL-11 L • G C-1-Ar• a—t-)v IrOh rre_s'1 17t�feL t12,1"- <br /> (Name <br /> -a'(Name of permittee representative) (title) <br /> of I�'li0 Gicet,r19 31. , LiiC • <br /> (permittee) <br /> ANN C. ROBISON <br /> Notary Public ` ) <br /> a�oh� ICJ • e) ., <br /> State of i <br /> NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> I 0/ pC)) <br /> Page 5 of 6 <br />