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,TNOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF C� OY'Ct_� ) <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of , abDA , <br /> Notary lic V CL <br /> T E R E S E V I R G I N I A L O M B A R D My Commission Expires a (� <br /> I Notary Public --"�— <br /> State of Colorado <br /> Notary ID#201 94005945 <br /> My Commission Expires 02-12-2023 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 />