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SIGNED, SEALED AND DATED this fq day of Wild,/ <br /> Operator (SEAL) <br /> By: 'Rona& f) (nOrrra/l1D <br /> Title: 7.n ctiAik ol,tuLd <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF COLOR bo ) <br /> ) ss.: <br /> COUNTY OF P LC. <br /> Iertit" Nta <br /> he instrument was acknowledged before me this day of 4 213( <br /> by Mairtame) of <br /> /lN <br /> JOSEPH D. BOWER Notary Public <br /> NOTARY PUBLIC <br /> STATE OF COLORADO My Commission Expires 4 aid g <br /> NOTARY ID 19984011891 <br /> MY COMMISSION sboaas APRIL ' <br /> 20 201S <br /> • e <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 /> Rev.05/12 <br /> - 13 - <br /> • <br />