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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF Q D 1—c(-(-4 O ) <br /> ) ss.: <br /> COUNTY OF A t Q..LN\S ) <br /> The foregoing instrument was acknowledged before me this S day of �-��if l Lcur L --,o[ <br /> by as of �-Q� +"-14 5.O--C-1 <br /> Off! C. BOLTE Nota <br /> SHA�IN (, <br /> rjoTARY PUBLIC My Commission Expires b ' <br /> STATE OF COLORADO <br /> NOTARY 1D 19954008214 <br /> MY CONtt,41SSION EXRRES June 3,2019 _ 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 /> - 10 - <br />