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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF Cb <br /> ss.: <br /> COUNTY OFlilt <br /> }� ) <br /> The fore oin` instrument was acknowledged before me this S 1rLA day of \JQt(kky' 2!`P , <br /> by ��ti ",/ l �Y�7 as 6111tW Cl] of J MW DA 110 U L <br /> Notary Public `1 Q <br /> APRIL LEIGH SHOEIJAAKER JOHNSON <br /> NOTARY PUBLIC My Commission Expires () <br /> STATE OF COLORADO <br /> NOTARY ID 20124018146 <br /> MY COWASSION EXPIRESAPRIL 2.2016 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: Date Executed: <br /> Division Director <br /> 01 -G"- JQ3 0 3TAT <br /> 8►t8 0��t YRAT014 <br /> 1 .S JIRSA 2S !(-Pol2p'llmoo Y-m <br /> - 10- <br />