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t4,,Pgreement o 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. DEC '12017 <br /> ®1V1S10p,0; <br /> M1NIN0gN0 hlAT/0N <br /> Affiant's name S ETY <br /> Z�&, = <br /> Signature <br /> Notarized Affidavit of Si ng a <br /> STATE OF: ) <br /> A 11n U <br /> COUNTY OF: ) ss. <br /> �NiGZuIyIA <br /> The foregoing instrument was acknowledged <br /> before me this 7 day of G�A4 �,� , j/J by <br /> (date) (month) (year) <br /> as <br /> M sl illlc- L 71/,1 0.: /-v MANAA A� <br /> (Name of permittee representative) (title) <br /> of n/J <br /> (permittee) <br /> MARY DEWEESE <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20084036833 NOTARA7 PUBLIC <br /> MY COMM.EXPIRES NOVEMBER 13,20M <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />