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2017-11-14_REPORT - M1996073
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2017-11-14_REPORT - M1996073
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Entry Properties
Last modified
11/15/2017 8:26:54 AM
Creation date
11/14/2017 3:30:30 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1996073
IBM Index Class Name
Report
Doc Date
11/14/2017
Doc Name
Annual Fee/Report/Map
From
Sedgwick County
To
DRMS
Annual Report Year
2017
Email Name
JLE
Media Type
D
Archive
No
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Agreement to Conduct Permitting by Electronic Means <br />Affidavit of Authority to Agree to Conduct Electronic Permitting <br />The Colorado Mined Land Reclamation Board ("Board') has adopted the attached Affidavit ofAnrthorit)- <br />to Execute ePermitting Documents pursuant to the Mined Land Reclamation Act (CR,S. 34-32-101 et. <br />seg.) and the Laird Reclamation Act for the Extraction of Construction Materials (C R.S. 34-32.5-101 et. <br />seg.) _ The Board and the Division of Reclamation Mining and Safety ("Division') have determined that <br />it is necessanv to verifi, the legal authority of the individual signing necessary' documents. <br />According!}�, you musr provide co►rfrrnration of the legal authority of the individual signing all ePer rrritting <br />documents to the Division. You may do so either b}- submitting a rerohrtion of the decision-making bod}' <br />ofd our corrrpanny that authorized an individual to sign the Opt -1n Agreement on the contpan}''s behalf, or <br />by completing and notarizing the attached affidavit. The Division reserver the right to require the <br />attached affidavit in all circumstances. Please note that if your are a sole propHelor ilio is executing <br />documents ort you own behalf, documentation of legal authority is ununecessar1,. <br />Before me this day, the undersigned <br />in his/her capacity as <br />("Affiant"), personally appeared and, <br />being first duly sworn upon oath said: <br />This affidavit is being executed and <br />submitted on behalf of <br />a(n) <br />[name of authorized person] <br />[title of authorized person] <br />[name of business organization] <br />[legal form of business organization, e.g., <br />corporation, partnership, limited liability <br />company, etc., <br />in good standing in the State of Colorado (the "Company"). <br />2. It is in the interest of the Company to conduct certain electronic permitting actions <br />which are required by the Colorado Mined Land Reclamation Board and Division <br />of Reclamation Mining and Safety pursuant to Colorado law ("ePermitting"). <br />Affiant is duly authorized to sign such ePermitting Documents on behalf of the <br />Company and to bind the Company to the same. <br />4. Affiant is not prohibited or limited by the Company's governing documents or by <br />any applicable law from executing the ePermitting Documents. <br />Page 4 of 6 <br />
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