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Bernard Buster <br />Page 2 of 2 <br />January 10, 2017 <br />AVr menr rn Candacr Permltring by Vecrronk Means <br />S. Afllant will inform the Division of Reetarouion Mining and saray within thirty <br />(]d) days in the event that btslhcr awhoriWion to execute epermitting Documents <br />on the Company's belmtf is w7ninated. <br />Farther Affiant ay'1h not <br />��, „z'//.? <br />Affiaat's name <br />WPM= <br />(ten <br />My Commission copra: <br />Sincerely, <br />Susan L. Burgmaier <br />Business Process Technical Specialist <br />cc: Amy Eschberger, DBMS <br />Enclosure <br />These fields <br />STATE OF: <br />)40W0,111 <br />must be <br />CO"'f OR <br />' <br />completed <br />The foregoing instrument was admowledgM <br />befots me tlris <br />L_ day of <br />by <br />(date) <br />(month) ( <br />MamcorpcmNlecrtpn=mstin) <br />(title) <br />OC <br />Inr <br />i6lMKUM <br />(permiltpa} <br />IKitFKI' PU�l1C <br />6WEt1FCOIGiYDO <br />uilrutrnansCXS <br />-NOTARY PUBUC <br />�rroo�e+�.�oKwr�sr�a�n <br />(ten <br />My Commission copra: <br />Sincerely, <br />Susan L. Burgmaier <br />Business Process Technical Specialist <br />cc: Amy Eschberger, DBMS <br />Enclosure <br />