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NOTARY FOR PROSPECTIVE SUCCESSOR <br />STATE OF (��(�� �a j� (2 ) <br />ss.: <br />COUNTY OF <br />The foregoing instrument was acknowledged before me this $� day of �1 1 <br />by as of <br />Notary Public - <br />My Commission Expires <br />(a) <br />STATE APPROVAL <br />[for completion by Division] <br />The Board hereby approves the transfer of permit number <br />H of 041'x— O 3 J- <br />jP2/�Gr�Ii; SGYlAi a�C ic-C. Jrw to J G f=l4 vr5 �yyG <br />from <br />(b) The Board hereby recognizes J C- 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 S PQA Uq E 55- �JCE , 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 />-10- <br />Date Executed: (U . 3 / • % � <br />