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11/6/2019 Coal Program ePermitting Signup-Google Forms <br /> By clicking "Agree" below, you opt in to ePermitting for report <br /> submittal, and consent that the Division may send any and all <br /> correspondence, notices, documents and information to you <br /> electronically, in all matters related to reports for your Permit(s). You <br /> further consent that you will use ePermitting to send any and all <br /> correspondence, notices, documents and information to the Division <br /> in all matters related to reports for your Permit(s). You consent that <br /> documents submitted electronically to the Division have the same <br /> legal force and effect as paper documents. The Division reserves the <br /> right to send any or all electronic records to you in paper form to your <br /> current mailing address on file at its sole discretion. Your agreement <br /> to opt in to ePermitting represents a single legal transaction as that <br /> term is used in C.R.S. § 24-71 .3-105. Your agreement to opt into <br /> ePermitting will become effective immediately upon the Division's <br /> receipt of this signed Agreement and you may no longer receive paper <br /> documents from the Division pertaining to reports for your Permit(s). <br /> This Agreement, including the validity of any signatures or consents, <br /> any claims, or any disputes arising hereunder shall be construed in <br /> accordance with and governed by the Laws of the State of Colorado. <br /> Further, if the permit holder is a corporation, partnership, trust, etc., <br /> you state that you are authorized to act on behalf of the permittee. <br /> Q Agree <br /> Submitted 11/6/19,8:58AM <br /> https://docs.google.com/forms/d/1 kFaOUGYvnegHl8rVn6BXL7_wkTUQtHPvUij8w6F_MaE/edit#response=ACYDBNhuf2a1 LKGgMhMWg-ygyeUyewA... 4/4 <br />