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names appear on this permit on the date of its issuance. Such right shall <br />automatically expire when reclamation has been completed and sureties <br />released. <br />d. Such right to enter is in addition to other lawful rights of the State to enter <br />upon such lands. <br />15. The additional stipulations set forth in the attached rider, if any, are incorporated <br />herein by reference. <br />/_/ a) Rider is attached. <br />/ X / b) No rider is attached. <br />ACCEPTED AND AGREED: <br />By <br />Operator Tit e <br />STATE OF `�' f"� ) ss <br />COUNTY OF L_tk3 hr(Ir"o ) <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />COLORADO DEPARTMENT OF <br />NATURAL RESOURCES <br />Division Director <br />-r � <br />The foregoing instrument was acknowledged before me this day of Oc-Lo&a- , 20 I by_ <br />F-'-C'0f.2'J as Qts IGEN <br />of j j z w � Uc— CP c. Cn Pr o-6 U -C , operator. <br />z <br />NOTARY PUBLIC <br />My Commission expires: <br />FREDERICK SANCHEZ JR. <br />Notary Public <br />State of Colorado <br />Notary ID 20104008953 <br />My Commission Expires Mar 5, 2018 <br />