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1 NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF �o!6 f d4 b ) <br /> ) ss.: <br /> COUNTY OF Cle'W Cr1t6k- ) <br /> The fore orng rostrum nt was ]edged before me this 3® day <br /> of <br /> by (�Qv i �O$ as M a h a q c,✓ of <br /> ERICHARD L GARPJETI Notary PublicOL <br /> BLICEORAQOM Commission Ex iresRd4043198Y P OS MA r!H 8,24i2 <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: Date Executed: <br /> Division Director <br /> - 10 - <br />