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RECEIVED <br />Agreement to Conduct Permitting by Electronic Means <br />Name of permittee representative desiring to <br />opt in to ePermit: <br />Title: <br />Name of permittee: <br />Signature: <br />ePermitting Administrator (if different from <br />representative signing agreement) <br />Email Address for ePermit Account: <br />STATE OF: <br />COUNTY OF: <br />Colorado <br />Jefferson <br />NOV 0 2 2017 <br />DMSION OF RECLAMATION <br />MININGAND SAFETY <br />Patrick H. Walker <br />President Rocky Mountain Division <br />Ma Marietta Materials, Inc. <br />Juli2Mik�r�s <br />iulie.mikulas@martinmarietta.com <br />Notarized Affidavit of Signature <br />) ss. <br />The foregoing instrument was acknowledged <br />before me this 2-1 L` day of C) v- r , i- by <br />(date) (month) (year) <br />as <br />Patrick H. Walker President, Rocky Mountain Division <br />(Name of permittee representative) (title) <br />of <br />SANDRA KATHLEEN ZETTLER <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20134022939 <br />MY COMMISSION EXPIRES APRIL 8, 2021 <br />(seal) <br />My Commission expires: <br />Martin Marietta Materials, Inc. <br />(permittee) <br />Page 3 of 6 <br />NOTARY PUBLIC <br />