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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 /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this 3 rd. day of , — n by <br /> (date) onth) (year) <br /> asQviA -ran <br /> 1 f <br /> L c(Na hie of permittee re esentative (title) <br /> of <br /> (permittee) <br /> M <br /> LENVUGHN PUBLICCOLORADOrdz., �/,L <br /> 20144025273 NOTARY PU LIC <br /> ires June 26,2018 <br /> (seal) <br /> My Commission expires: <br />