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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF ) C t; ) <br /> ss.: <br /> COUNTY OF , <br /> The foregoing instrument was ackno led ed before me this � da of . ` `'"�'u <br /> g g ��g � Y <br /> by '�� �'.�2 .Y�1'1� A A L�VN as '�u of YY� <br /> O Notary Public c yl <br /> SARAN GREGA <br /> NOTARY PUBLIC My Commission Expires 7 1 Z <br /> STATE OF COLORADO <br /> NOTARY ID 20174007757 <br /> MY COMMISSION EXPIRES fEDRUn RV <br /> 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 />