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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STA"IT OF ( l,) I �f ) <br /> ss.: <br /> COUNT' <br /> I he foregoing instrument was acknowledged before me this day of <br /> C by as , <br /> Not blic <br /> My Commission Expires <br /> .= STATE APPROVAL <br /> [for completion by Division] <br /> (a) The Board 1herebyta,,pproves the tranf fer of permit number( from <br /> r✓y;/to ! r i� t f j 1 I I r :J%1 f f,5 <br /> (h) [he Board hereby recogrrires��(�Af1St� (ift1�,,Y1 :. b � �G?fri__"MI 5as Successor Operator under <br /> such Permit. <br /> (c) The Board hereby accepts the Performta'nce and Financial Warranties submitted by Successor and hereby <br /> ��releases _)dri}�(dk� ��f��� i� �� as former Permittee from all obligations under <br /> its Performance and Financial Wan-antics. The Board further releases all affected financial,warrantors from <br /> obligations under Financial Warranties associated with the former Permittee. <br /> STATT:OF COLORADO <br /> DEPARTMENT OF NA RJRAI°RESOURCES <br /> MINED LAND RF,CI.AMA'ITON BOARD <br /> DIVISION OF RECLAMATION_MINING AND SAFETY <br /> By: ` -- Date Executed: Lo . <br /> L <br /> Division Director <br /> - 10 - <br />