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- 2 - <br /> This form has been approved by the Mined Land Reclamation Board pursuant to sections 34-32-119, C.R.S., <br /> of the Mined Land Reclamation Act and 34-32.5-119, C.R.S.,of the Colorado Land Reclamation Act for the <br /> Extraction of Construction Materials. Any alteration or modification of this form shall result in voiding any <br /> permit issued on the altered or modified form and subject the operator to cease and desist orders and civil <br /> penalties for operating without a permit pursuant to sections 34-32-123, C.R.S., of the Mined Land <br /> Reclamation Act and 34-32.5-123, C.R.S., of the Colorado Land Reclamation Act for the Extraction of <br /> Construction Materials. <br /> Applicant and Successor hereby request the State to consent to the assignment of the Permit Application to <br /> recognize the Successor as the Applicant under the permitting process. <br /> Varra Companies Inc Raptor Materials LLC <br /> Name of Permit Applicant Name of Successor Applicant <br /> By By \ 11 r <br /> Signature of Officer Signature o ficer <br /> Title of Officer Title of Officer <br /> NOTARY FOR PERMIT APPLICANT <br /> STATE OF iJ(L' r��l4Q ) <br /> ss. <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of 1 a ZC 2, <br /> by le I(1�(�(L� ���L+,(0. as f ibS A-e✓1 of <br /> V ov(-L ��pr'Y� tit er <br /> JESSICA HOOVER <br /> NOTARY PUBLIC Ac <br /> STATE OF COLORADO NO Y PUBLIC <br /> NOTARY ID 20044035571 <br /> MY COMMISSION EXPIRES OCTOBER 4,202 L <br /> My Commission expires: T `(" <br /> NOTARY FOR SUCCESSOR APPLICANT <br /> STATE OF LQ I (D V-6Z CAL U ) <br /> ss. <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of 20 � <br /> by K V 1 ✓� iti K +� as y Of <br /> C-a0J�oY- N\&-k ' 5 LLC; <br /> JESSICA HOOVER 1 t <br /> , <br /> NOTARY PUBLIC <br /> STATE OF COLORADO NOfJtRY PUB LTC <br /> NOTARY ID 20044035571 <br /> My COMMISSION EXPIRES OCTOBER 4,202 <br />