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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF coloria ) <br /> � ) ss.: <br /> COUNTY OF S41! M N ) <br /> The foregoing instrument was acknowled edd before me this }h day of Decem�f, �1—, <br /> by Ma&jy Aeryw as ���Iej P Rb 1`r of �OlOrph <br /> Notary Public <br /> MATTIiEW MESSANOC <br /> NOTARY PLI$L]C My Commission Expires © - � a-a3 <br /> ?U <br /> STATE OF COLORADO <br /> NOTARY 10 20194007472 <br /> W COMM S`.'::iJ EXPIRES 02.22.2M <br /> STATE APPROVAL <br /> for completion by Division] <br /> a) The Board hereby approves the transfer of permit number from <br /> to <br /> i b) The Board hereby recognizes____ as Successor Operator under <br /> such Permit. <br /> k:I 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 /> - 1Q- <br />