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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, Affia'nt s�ayeth�not. ` <br /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> C.�Ic VAJ e <br /> COUNTY OF: _ ) ss. <br /> �Y�b'�'1 oYlt <br /> The foregoing instrument was acknowledged <br /> before me this day of ptZ by <br /> (date) (month) (year) <br /> as <br /> I l��l ► G� V,-A-VGL-h o n s I V o,y,LLI, 2 <br /> (Name ofpermittee representative) (title)of <br /> �V1G�IGlI�I ��'11�G15 K-Utt/1�� J 1—�� <br /> (permittee) <br /> SARAN RHULE <br /> NOTARY PUBLIC til <br /> STATE OF COLORADO <br /> NOTARY ID 20154011605 NO RY PUBLI <br /> My Commission Expires 03-25-2019 <br /> (seal) <br /> My Commission expires: VA <br /> Page 5 of 6 <br />