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SIGNED, SEALED AND DATED this r�� day of 01n L4 Air 021 <br /> 1�. olore s C.ott.n Roao�--,i Z)rtc� IJ car <br /> Operator _ (SA AT <br /> c <br /> By: <br /> Title: C u TI-Ct t <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF Q r(L-" ) <br /> ) ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this c 1�1ay of Z-01 LA-0 r d <br /> y swlooreSCOtcrfi of 010fP tln�id Q oc"d' <br /> Notary Public —jj( SpQc tV2 �lCQ.eSS ar'E mazer <br /> State of Colorado r Notary Publ- V�ll _. ""11 ,` ' y <br /> Notary ID#20084007093 T <br /> My Commission Expires 03-04-2024 <br /> My Commission Expires 03104 <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: ! ZJ <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />