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Ag1-eement to Conduct Permitting by Electf onic Meats <br />Name of permittee representative desiring to <br />opt in to ePermit: Jason Burkey <br />Title: Environmental/Resource Manager <br />Name of permittee: Oldcastle Southwest Group, Inc. dba United Companies <br />Signature: Arz <br />ePermitting Administrator (if different from <br />representative signing agreement) <br />Peter Siegmund <br />Email Address for ePermit Account: jburkey@oldcastlematerials.com <br />Notarized Affidavit of Sianature <br />STATE OF: <br />Colorado <br />COUNTY OF: ) ss. <br />Mesa <br />The foregoing instrument was acknowledged <br />before me this 1416 day of , �r�lbw�, 2017 by <br />(date) (month) (year) <br />as <br />Jason Surkey Environmental/Resource Manager <br />(Name of permittee representative) (title) <br />of <br />FG,F-N,jEviEvem.I3LECHAARY•PUBLiC <br />STA:,F COLORADOf[.,rlrlui4003259018u• Eyac-sApr042 <br />(seal) <br />My Commission expires - <br />A (I <br />Oldcastle Southwest Group, Inc dba United Companies <br />(permittee) <br />Page 3 of 6 <br />NOTARY PUBLIC <br />GENEVIEVE M. BLECHA <br />NOTARY -PUBLIC <br />STATE OF COLORADO <br />NOTARY ID #19914003258 <br />M Commissbn 4 2018 <br />