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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,Affianf sayeth not. <br /> Affiant's name <br /> tore <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this 2-1 day of -DC-C.-C rYl6CV, 20I-� by <br /> (date) (month) (year) <br /> as <br /> L 1 fYlr`F1�1 T �t�llrGl,(� _�Pr-c51 G1-�� <br /> (Name of permitfee representative) (title) <br /> of I <br /> man & PcQt�-Gc-.., Cont-IaCjors l r), <br /> (permittee) <br /> LNpTARY P C <br /> (seal) JENNIFER RIDNOUR <br /> My Commission expires: NOTARY PUBLIC <br /> t 2-G I Z�J STATE OF COLORADO <br /> NOTARY ID rea�Ocd bey 25 2020 <br /> My Commission►Fri <br /> Page 5 of 6 <br />