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SIGNED, SEALED AND DATED this day of <br /> Operator (SEAL) <br /> ♦ � BY: <br /> Title: a""f ii-r'L Gt.41 CA. 12;k n <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF Q�j&� 0 ) CASE=PUBLIC <br /> NOTAss.: STATE OCOUNTY OF �p\6c�S NOTARY MY COMM►SSION E22 <br /> The foregoing instrument was acknowledged before me this_1%0 day of Z o Zc) , <br /> by MGLVAtn 5 . Cho ccA as Sec-f,L, U �.�t�Anro_ Mn,,. of TJ tj L_, . <br /> Notary Public 612014 <br /> My Commission Expires 0 2- ZS- 267,7- <br /> STATE OF COLOR-ADO <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 />