2017-11-02_GENERAL DOCUMENTS - M1974015

• Permit No: M1974015
• IBM Index Class Name: General Documents
• Doc Date: 11/2/2017
• Doc Name: Agreement to Conduct Permitting by Electronic Means
• From: Martin Marietta Materials, Inc.
• To: DRMS
• Media Type: D
• Archive: No

Agreenient to Conduct Pe) -n tting by Electronic- Means
5. Affiant will inform the Division of Reclamation Mining and Safety within thirty
(30) days in the event that his'her authorization to execute ePermitting Documents
on the Company's behalf is terminated.
Further, Affiant sayeth not,
Julie Mikulas
Affant's name
nature
Pt
I
STATE OF:
COUNTY OF.
Colorado
Jefferson
Notarized Affidavit of Signature
) ss.
The foregoing instrument was acknowledged
before me this day of p by
(date) (month) (year)
as
Julie Mikulas Land Manager
(Name of permittee representative) (title)
of
SANDRA KATHLEEN ZETTLER
NOTARY PUBLIC
STATE OF COLORADO
NOTARY Ip 20134022539
MY COMMISSION EXPIRES APRIL 8, 2021
(seal)
My Commission expires:
Martin Marietta Materials Inc.
(permittee)
Page 5 of 6
NOTARY PUBLIC