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SIGNED,SEALED AND DATED this � day of . <br /> � C f \'ESWG <br /> Operator fjA o. G P p :QO <br /> By: ,,: is <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF 0 b } <br /> } ss.: <br /> COUNTY OF <br /> _ The foregoing instrument was acknowledged before me this day of <br /> by ',�ldt�r�l 4,t rrt. as�7eC Ttt]a .tCC?{ of 3 C � 4e.- ` 11 �tf r .p-� c <br /> TERESE VIRGINIA LOMBARD Notary lic <br /> Notary Public <br /> State of Colorado <br /> Notary ID#20194005945 My Commission Expires <br /> y � r- <br /> My Commission Ex ires 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: �i T �' Date Executed: 1 �� <br /> Division Director <br /> Rev.05112 <br /> - 13 - <br />