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NOTARY FOR PROSPECTIVE SUCCESSOR <br />STATE OF <br />� <br />�W� j ss.: <br />COUNTY OF <br />The foregoing innstrument was acknowledged before me this day ofUt/w �" , a,4 13 <br />byQ'l•�n�ol� as Cll l tir":A, of <br />• <br />Notary Public <br />My Commission Expires <br />STATE APPROVAL <br />[for completion by Division] <br />(a) The Board hereby approves the transfer of permit number from <br />to <br />(b) The Board hereby recognizes as Successor Operator under <br />such Permit. <br />(c) The Board hereby accepts the Performance and Financial Warranties submitted by Successor and hereby <br />releases , as former Permittee from all obligations under <br />its Performance and Financial Warranties. The Board further releases all affected financial warrantors from <br />obligations under Financial Warranties associated with the former Permittee. <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />By: <br />Division Director <br />Date Executed: <br />9-4-d- <br />