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Construction Materials (C.R.S. § 34 -32.5 -101 et. seq.) ( "Construction Materials Act") and <br />associated Rules (2 C.C.R. 407-4) ( "Construction Materials Rules "), with respect to any other <br />operation conducted by the Prospective Successor in the State of Colorado. <br />Permittee and Prospective Successor hereby request that the Mined Land Reclamation <br />Board (`Board') approves their SO Application, recognizes the Prospective Successor as <br />Successor Operator under the Permit, accepts the Prospective Successor's Performance and <br />Financial Warranties, and releases the current Permittee's Performance and Financial Warranties. <br />SIGNED, SEALED AND DATED this <br />PERMITTEE <br />James Van Ella <br />Name of Pennittee <br />By <br />lure of Officer <br />Title of Officer <br />day of <br />PROSPECTIVE SUCCESSOR <br />Gold Basin Mine, LLC <br />Name of Prospective Successor <br />By <br />Signature of Officer <br />Member <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />STATE OF n d I Gl vl ) <br />ss.: <br />COUNTY OF V ) <br />The foregoing instrument was acknowledged before me this I �` day of <br />by � /'1 VI as 1� V!41 of _ <br />Notary Public <br />My Commission Expires <br />-9- <br />U <br />LYNN E FLICK <br />%MY Pubk - Seal, <br />810 of Indhna <br />Mr COMMU100 Expins On 118, 2020 <br />0 <br />