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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 />��-a-S/41- <br />Aff ant's name <br />(Signature <br />Notarized Affidavit of Sigliature <br />STATE OF: (fc)l 0/0 <br />COUNTY OF:/ ) ss. <br />/O c// er` <br />The foregoing instrument was acknowledged —^ <br />before me this I ; day of Q -" by <br />(date) (month) -3 (year) <br />as <br />(Name of permittee representative) (title) <br />tAHENA MEDINA <br />Notary Public - Stale of Colorado <br />Notary ID 201640'32814 <br />My CommIss-an Fx��re 22. 2020 <br />+r--..� 4 <br />(seal) <br />My Commission expires: <br />a <br />of5�� <br />(permittee) <br />O RY UBLIC <br />Page 5 of 6 <br />