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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> l <br /> STATE OF 0 0 V 0 ((_6 ) <br /> ss.: <br /> COUNTY OF <br /> r� r'J <br /> The forego in instrument was acknow edged before me this .> day of <br /> by yt'r1., >>E �Ct'�1 as F'rroil <br /> Notary Public <br /> DAROL E.REEVES <br /> NOTARY PUBUC My Commission Expires �I- <br /> STATE OF COLORADO <br /> NOTARY ID 199WI1404 <br /> %jv CO.-,jmISSj()N EXPIRES AUGUST 4,2021 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 Permittce. <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 /> - 10 - <br />