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-2 - b <br /> This form has been approved by the Mined Land Reclamation Board pursuant to sections 34-32-119, C.R.S., <br /> of the Mined Land Reclamation Act and 34-32.5-119, C.R.S.,of the Colorado Land Reclamation Act for the <br /> Extraction of Construction Materials. Anv alteration or modification of this form shall result in voiding any <br /> permit issued on the altered or modified form and subject the operator to cease and desist orders and civil <br /> penalties for operating without a permit pursuant to sections 34-32-123, C.R.S., of the Mined Land <br /> Reclamation Act and 34-32.5-123, C.R.S., of the Colorado Land Reclamation Act for the Extraction of <br /> Construction Materials. <br /> Applicant and Successor hereby request the State to consent to the assignment of the Permit Application to <br /> recognize the Successor as the Applicant under the permitting process. <br /> 4V-G m- t . ' �" , u'l' Green Plains Cattle Company LLC <br /> Name of Permit Applicant Name of Successor Applicant `J <br /> By I n By <br /> Signature of Officer Signature WoffiieP <br /> —T(e — " , L t�E � m�,vA� - �t�s~ <br /> Title of Officer Title of Officer <br /> NOTARY FOR PERMIT APPLICANT <br /> K STATE OF CLf)SaZ) ) <br /> )ss. <br /> COUNTY OF e 1 ) <br /> The foregoing instrument was acknowledged before me this 6 t ► day of , <br /> by �r12 2 l7 • ►�2 ec� as Tr f 0_5 r ter- of <br /> Q-ML Fen-Aers,L-LL <br /> r _ <br /> SANDRA CARRIER NOTARY U L1Cl� ����� <br /> Notary Puble•State of Kansas <br /> t' fires -�-�G O My Commission expires: <br /> NOTARY FOR SUCCESSOR APPLICANT <br /> STATE OF <br /> 1 )ss. <br /> COUNTY OF YW tP/7 ) <br /> The foregoing instrument was acknowledged before me this � day of ��� ��� �✓ <br /> by �6el -Tatl�✓l --- as UdYlti►Lul Ylttn ttZ ytu �^` f n� "� <br /> (,rt-�' D UttwS C kT1LE Cy�-Qrt rW. �- <br /> r� <br /> ` t Y <br /> NOTAR LIC <br />