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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 /> �b=q#u <br /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> COUNTY OF: ^ ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this day of A to u-4 (' 11 by <br /> d6DY&—/-A2 (date) (m th) (year) <br /> 02 /(-W n as socrebLl <br /> (Name of permittee representative) (title) <br /> of <br /> (permittee) <br /> SUSAN GATES <br /> STATE OIOT F COLOPUBUOT <br /> RADO <br /> ;���a <br /> NOTARY ID 201440i1444 NOTARY PUBLIC <br /> MY COMMISSION EXPIRES MARCH 12,201S <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />