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Agreement to Conduct Permitting by Electronic Means <br />Affidavit of Authority to Agree to Conduct Electronic Permitting <br />The Colorado Mined Land Reclamation Board ("Board') has adopted the attached Affidavit of Authority <br />to Execute ePermitting Documents pursuant to the Mined Land Reclamation Act (C. R. S. 34-32-101 et. <br />seq) and the Land Reclamation Act for the Extraction of Construction Materials (C.R.S. 34-32.5-101 et. <br />seq.) . The Board and the Division of Reclamation Mining and Safety ("Division') have determined that <br />it is necessary to verify the legal authority of the individual signing necessary documents. <br />Accordingly, you mustprovide confirmation of the legal authority of the individual signing all ePermitting <br />documents to the Division. You may do so either by submitting a resolution of the decision-making body <br />of your company that authorized an individual to sign the Opt -In Agreement on the company's behalf, or <br />by completing and notarizing the attached affidavit. The Division reserves the right to require the <br />attached a0davit in all circumstances. Please note that if you are a sole proprietor iMo is executing <br />documents on yo it oim behalf, documentation of legal authority is unnecessary. <br />Before me this day, the undersigned <br />[name of authorized person] <br />in his/her capacity as r ,q- mm��/ Y� <br />[title of auth rized person] <br />("Affiant"), personally appeared and, <br />being first duly sworn upon oath said: <br />1. This affidavit is being executed and <br />submitted on behalf of n!ytr/ u—P <br />[name of business or anization] <br />a{n} Gt h /2 1,2 <br />[legal form of business organization, e.g., <br />corporation, partnership, limited liability <br />company, etc.,] <br />in good standing in the State of Colorado (the "Company"). <br />2. It is in the interest of the Company to conduct certain electronic permitting actions <br />which are required by the Colorado Mined Land Reclamation Board and Division <br />of Reclamation Mining and Safety pursuant to Colorado law ('Wermittingil).V ,j e <br />jr,AC-)4'0l mit) 3FAT <br />3. Affiant is duly authorized to sign such ePermitting Doculents oif'behali±of:theiii <br />Company and to bind the Company to the same.a-u*r.;r�+l�'ralea <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 <br />