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SIGNED, SEALED AND DATED this day of , <br /> perator (SEAL) <br /> By: Russell A. Larsen <br /> Title: Chief Operating Officer <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF C ZQaf\,,n ) <br /> ) ss.: <br /> COUNTY OF �5� ) <br /> The foregoing instrument was acknowledged before me this, day of`,� L1nV— , <br /> by ash—fll ��14�?SIi�C C�of Y7>>t�� <br /> Notary Public <br /> My Commission Expires ] ' ] <br /> STATE OF COLORADO ENaa:M <br /> NIPArrON <br /> DEPARTMENT OF NATURAL RESOURCES -0a:e 0Cdoradoc Szeo f 040 <br /> ColoMINED LAND RECLAMATION BOARD n Expires Jan 30,zo22 <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By: Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />