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3. Successor hereby tenders to the State its attached reclamation bond*, which is to be substituted <br />for the bond and surety heretofore filed by the Permittee effective upon the release of the latter bond and <br />surety. <br /> <br /> 4. Successor represents to the State that, to the best of its knowledge, information and belief, it is <br />not in violation of any of the provisions of the Colorado Surface Coal Mining Reclamation Act with respect to <br />any other operation conducted by it in the State of Colorado. <br /> <br /> Permittee and Successor hereby request the State to consent to the assignment of the Permit, to <br />recognize Successor as Successor Operator under the Permit, and to accept the tendered substitute bond and <br />surety in place of the bond and surety presently on file with the State. <br /> <br />* Attach executed reclamation bond. <br /> <br /> EXECUTED this _______ day of _____________________, ________. <br /> <br />_____________________________________ ___________________________________ <br />Name of Permittee Name of Successor <br /> <br /> <br /> <br />By _________________________________ By ________________________________ <br /> Signature of Officer Signature of Officer <br /> <br />____________________________________ ____________________________________ <br />Title of Permittee Title Successor Operator <br /> <br /> <br />NOTARY FOR PERMITTEE <br /> <br />STATE OF _____________________) <br /> ) ss. <br />COUNTY OF ___________________) <br /> <br /> The foregoing instrument was acknowledged before me this _______ day of <br />_____________________, ________, by _____________________________________________ as <br />______________________________ of __________________________________________________. <br /> <br /> <br />___________________________________ <br />NOTARY PUBLIC <br /> <br />My Commission expires <br /> <br />__________________________ <br /> <br />