2018-03-06_GENERAL DOCUMENTS - M1997087

• Permit No: M1997087
• IBM Index Class Name: General Documents
• Doc Date: 3/6/2018
• Doc Name Note: Agreement to Conduct Permitting by Electronic Means
• Doc Name: Agreement to Conduct Permitting by Electronic Means
• From: Arnold's Custm Seeding, LLC
• To: DRMS
• Email Name: SLB
• Email Name: ERR
• Media Type: D
• Archive: No

3037320510 11:33:39 a.m. 03-06-2018
Agreement to Conduct Permitting 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.
Notarized Affidavit of Signature
STATE OF: n }
COUNTY OF: V 4 ) ss.
The foregoing instrument was acknowledged
before me this 25 day of
(date)
'R;a-
(Name of permittee representative)
PATRICIA A CARLSOpj
NotV F+uhiic
SEete of
MCordo
C;o0o05Vm04
12 pes 10.03. 2020 020
(seal)
My Commission expires:
:uta
Z-018 by
b6onth) (year)
(titre) % a
of
(penmittee)
Page 5 of 6
NOTARY PUBLIC
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