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- z - <br /> This farm has been approved by the Mined Land Reclamation Board pursuant to sections 34-32-119, CR.S., <br /> of the Mined Land Reclamation Act and 34-32.5-119, C.R.S,of Ilse Colorado Land Reclamation Art for the <br /> Extraction of Construction Materials. Any alteration or modification of thiNforin shall result in voiding any <br /> permit issued on the altered or modifted 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, CR.S, of lire 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 IGrI � � By <br /> Signature of Officer Signature o tcer <br /> Title of Officer Title of Officer <br /> �J NOTARY FOR PERMIT APPLICANT <br /> STATE OF O( �(A(J_l O 1 <br /> �.COUNTY OF C( )ss.1 <br /> The foregoing instrument was acknowledged before me this ,day of a iv <br /> 1 1 <br /> by VO-V'�k as r L I�1 -` V of <br /> Vlrira 02L DI yk-e 5 <br /> JESSICA HOOVER <br /> NOTARY PUBLIC <br /> STATE OF COLORADO NO Y PUBLIC <br /> NOTARY ID 20044035571 <br /> MY COMMISSION EXPIRES OCTOBER 4.242 � `r I <br /> My Commission expires: -f' <br /> NOTARY FOR SUCCESSOR APPLICANT <br /> STATE OF I O ti-a CA O ) <br /> I Iiss. <br /> COUNTY OF } <br /> The foregoing instrument was acknowledged before me this L day of <br /> by K 2.\f 1 v\ de a- C.+VN S as V A }C��t,. ,. of <br /> &S LL G <br /> JESSICA HOOVER <br /> NOTARY PUBLIC <br /> STATE OF COLORADO NO'VkY PUB C <br /> NOTARY ID 20044035571 <br /> My COMMISSION EXPIRES OCTOBER 4.202 <br />