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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 />Peter Siegmund <br />Affiantame <br />Si natu <br />STATE OF: <br />Colorado <br />COUNTY OF: <br />Mesa <br />Notarized Affidavit of Signature <br />) ss. <br />The foregoing instrument was acknowledged <br />before me this day of � , 2017 by <br />(date) (mo th) (year) <br />as <br />Peter Siegmund Assistant Secretary <br />(Name of permittee representative) (title) <br />of <br />EGENEVIEVE M. BLECHA <br />A RY-PUBLIC <br />OF COLORADO <br />10 #19914003269 <br />Expires Apri< 4, 2019 <br />(seal) <br />My Commission expires: r1LI <br />Oldcastle Southwest Group, Inc. dba United Companies <br />(permittee) <br />Page 5 of 6 <br />NOTARY PUBLIC <br />