Laserfiche WebLink
1 f NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF I u ) <br /> ss.: <br /> COUNTY OF k ) <br /> i <br /> The foregoing instrument was acknowledged before me this '.__ day of ... <br /> by David Forenza as Managing Member of Mesa A 'G, LLC <br /> MTATE Notary Public a � ' <br /> UBLICLORADO My Commission Expires <br /> 0&4045541November B,2022 <br /> STATE APPROVAL <br /> [for completion by Division] <br /> (a) The Board hereby approves the transfer of permit number __ from <br /> to <br /> (b) The Board hereby recognizes„ . „ _ as Successor Operator under <br /> such Permit. <br /> (c) 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: m� Date Executed: <br /> Division Director <br /> . to- <br />