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Agreement to Conduct Permitting by Electronic Means <br />Affidavit of Authority to Agree to Conduct Electronic Permitting <br />Tire Colorado Mined Laird Reclamation Board ("Board ") has adopted the attached Affidavit ofAtrthority <br />to Execute ePerrnilling Documents pursuant to the Mined Land Reclamation Act (CR.S, 34-32-101 et. <br />seg,) and the Land Reclamation Act for the Extraction of Construction Materials (CR.S 34-32.5-101 et. <br />seq.). The Board curd the Division of Reclamation Mining and Safety ("Division') have determined that <br />it rs necessary to verify the legal authority of the individual signing necessary documents. <br />elccordingl s-, yott must provide confirmation of the legal authority of the individual signing all ePermitting <br />docanrews to the Division. You nra.t- do so either by submitting a resolution of the decision-making body <br />pfYour company that authorized an individual to sign the Opt -In Agreement on the contpan'y s behalf,' or <br />6h -completing curet nolari_ing the attached affidavit. 7he� Division reser?-es the right to require the <br />attached afdoWir in all circumstances. Please note that if'you are a sole proprietor who is executing <br />docrunents on wort 01171 behalf documentation of legal attlhorin, is unnecessary. <br />Before me this day, the undersigned <br />in his/her capacity as <br />/"Affiant"), personally appeared and. <br />being first duly sworn upon oath said: <br />This affidavit is being executed and <br />submitted on behalf of <br />�eNla�'C� l 62elOL <br />_ <br />[name of authorized person] <br />[title of authorized person <br />[name of business organization] <br />a(n) o� Z,-a.i2 <br />[legal form business organization, e.g., <br />corporation, partnership, limited liability <br />company, etc.,j <br />in good standing in the State of Colorado (the "Company"), 4 Ar - <br />2. <br />r 2. It is in the interest of the Company to conduct certain electron' permitting actions <br />which are required by the Colorado Mined Land Reclamation oard and Division <br />of Reclamation Mining and Safety pursuant to Colorado law (` Permitting"). *� <br />3 Affiant is duly authorized to sign such ePermitting Documents on behalf of the <br />Company and to bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by <br />any applicable law from executing the ePermitting Documents. <br />Page 4 of 6 <br />