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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 /> 1?Q t,LI L . C-;Iai &' <br /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> COUNTY OF: ) ss. <br /> 1A(X)+C�C( t <br /> The foregoing instrument was acknowledged <br /> before me this ,):4-4±-)' day of I. I , a0 I Le by <br /> (date) (month) (year) <br /> as <br /> ?CUL L, • G . ch v ►'von-,rrt r l-za ti <br /> (Name of permittee representative) (title) <br /> of <br /> i'o Gro_yvi_e_, J; I vim, ,i'i C <br /> (permittee) <br /> ANN C. ROBISON <br /> Notary Public r <br /> State of iaahC <br /> NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> 0/ 31 Jai» <br /> Page 5 of 6 <br />