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ACCEPTED AND AGREED: DIVISION OF RECLAMATION, MINING& SAFETY <br /> COLORADO DEPARTMENT OF <br /> NATURAL RESOURCES <br /> 11° <br /> By '— <br /> Operator <br /> Operator Title Division Director <br /> STATE OF ) ss <br /> COUNTY OF ) <br /> The foregoing instrument was acknowledged before me this day of , 20 by <br /> as <br /> of , operator. <br /> NOTARY PUBLIC <br /> My Commission expires: <br /> AG Alpha No.NR LR TYB <br /> AG File No.PNR/3928/JD <br /> C-RN-1 8 <br />