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SIGNED, SEALED AND DATED this day of <br /> eoOperatorBy:Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF Z D�t p ) <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of <br /> by�i C�h��Y k \,�.Y V-e-j a�C��c'c c Ve, `�CC�r of <br /> TERESE VIRGINIA IOMBARD Not Public C� rtly <br /> Notary Public <br /> State of Colorado My Commission Expires Z -4 <br /> Notary ID#20194005945 T <br /> My Commission Expires 02-12-2023 <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 /> Rev.05/12 <br /> - 13 - <br />