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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 /> 20-fa- S{ <br /> Affiant's name <br /> rn r� <br /> �1 - <br /> ,!!gnJatur <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> co)e raAo <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this 3 1 5-�-day of V (/S% �G 7 by <br /> (date) (m` th) (year) <br /> as <br /> (Name of permittee representative) (title) <br /> of Is <br /> JORDAN PACHECO (permittee) <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY►D 20154048253 �'— <br /> MY COMMISSION EXPIRES DECEMBER 29,2019 N ARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />