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NOTARY FOR SUCCESSOR <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 /> <br />CONSENT OF STATE <br /> <br /> (a) Consent is hereby granted to the transfer of the Permit above referred to <br />from ____________________________________________________________________ to <br />_________________________________________________________________________. <br />(b) ___________________________________________________________________ <br />is hereby recognized as Successor Operator under such Permit. <br />(c) The bond substitution above proposed is hereby accepted and approved. <br /> <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> <br />Date: _________________, _______ By ____________________________________ <br /> Division Director <br /> <br /> <br /> <br /> <br />