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Agreement to Conduct Permitting by Electronic Means <br />5. Affiant will inform the Division of Reclamation Mining and Salety 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 />-&kLA, S-vCc oc <br />Affiant's name <br />Notarized Affidavit of Signature <br />STATE OF: N � <br />COUNTY OF: ) ss. <br />��c�mos� <br />The foregoing instrument was acknowledged <br />before me this 1 01 day of <br />(date) <br />OC bbe. y- , by <br />(month) (year) <br />x <br />A. as P'r <br />(Name of permittee representative) (title) <br />TIFFANY HAWKINS <br />NOTARY PUBLIC, STATE OF COLORADO <br />My Comm. Expires 1211512016 <br />(seal) <br />My Commission expires: <br />of C�JY1S <br />(per ittee) <br />jWI k <br />YOLIC <br />Page 5 of 6 <br />