Mining Form Mr-700 - Land Entry Agreement For Land Leased By Mine Operator (Page 2 of 3) in pdf

Mining Form Mr-700 - Land Entry Agreement For Land Leased By Mine Operator Page 2

The Lessor and the Lessee acknowledge and agree that the South Carolina Department of Health and Environmental

Control shall have the right to record this agreement.

This document is executed in accordance with Section 48-20-70 of the 1976 South Carolina Code of Laws, as

amended.

IN WITNESS WHEREOF, I have caused my hand and seal to be set hereunto this ______ day of _______________,

19_____.

IN THE PRESENCE OF:

________________________________(w1)

FOR THE LESSEE:

(witness 1)

________________________________(w2)

___________________________________________

(witness 2)

(Lessee signature)

___________________________________________

(Lessee printed name and title)

___________________________________________

(Lessee Company)

Address:_________________________________________

__________________________________________

Permit No.____________

STATE OF SOUTH CAROLINA

)

COUNTY OF _______________________

)

PERSONALLY appeared before me ___________________________________(w1) and made oath that _______ he

saw the within-named __________________________________________________ sign, seal, and as _________ (his or her)

(lessee)

act, deliver the within-written Land Entry Agreement for land leased by Mine Operator for the uses and purposes therein

mentioned and that _________he with ____________________________________(w2) witnessed the execution thereof.

_____________________________________________________

(signature of witness w1)

SWORN to before me this _____day of__________________, 19____.

___________________________________________

NOTARY PUBLIC FOR SOUTH CAROLINA

My Commission expires: _____________________

DHEC 3105 (08/1997)

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Mining Form Mr-700 - Land Entry Agreement For Land Leased By Mine Operator Page 2