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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 />tjic ho,ks Ckk� <br />Affiant's name <br />iignature <br />Notarized Affidavit of Signature <br />STATE OF: <br />COUNTY OF: } ss. <br />Y1 <br />The foregoing instrument was knowledged <br />before me this 1 Loi` day of <br />(date) <br />as <br />(Name of permittee representative) (title) <br />DAWN KORRELL <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20114081311 <br />COMMISSION EXPIRES DEC. 29,2D19 <br />(seal) <br />My Commission expires: <br />(month) <br />-Lo 110 by <br />(year) <br />of <br />pricer ass 1. <br />(permittee) <br />Page 5 of <br />NOTARY PUBLIC - <br />