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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 /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Si mature <br /> STATE OF: �, ) <br /> COUNTY OF: ) ss. <br /> 1 D nY�S <br /> The foregoing instrument was acknowledged <br /> before me this (0 day of lk C- C C7 by <br /> (date) (month) (year) <br /> as <br /> C�Zt�'h-Uei <br /> (Name of permittee representative) (title) <br /> of <br /> �o awl /✓t�1 !i r..c v� �a� <br /> CASEY FAHRING (permittee) <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20144009652 <br /> MY COMMISSION EXPIRES FEBRUARY 28,2018 <br /> NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> 6Z-ZS) <br /> Page 5 of 6 <br />