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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 /> a�s <br /> Affiant's name <br /> 1141. <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> Colorado <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this a. day ofJ cvw� , ---01l by <br /> M (Le- (date) (month) (year) <br /> Kecc( . J61124, as ?re SIaCvn-6 <br /> (Name of permittee representative) (title) <br /> of "CeYt 1,1, <br /> (permittee) v <br /> BARBARA J.CORK <br /> NOTARY PUBLIC <br /> ORADO <br /> NOT ITE DC 97401 NOTARY PUBL C <br /> L'SON EXFIRES JULY 25.2017 <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />