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f NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF _(_ ( }�('a,,14D ) <br /> ss.: <br /> COUNTY OF ��` ) <br /> The foregoing instrument was acknowledged before me this day of... <br /> by as r <br /> STE NOTARY <br /> 1 PUBLIC NE <br /> NOTARY PUBLIC Notary Public .. �. <br /> STATE OF COLORADO <br /> NOTARY ID 20214004248 My Commission Expires <br /> MY COMMISSION EXPIRES FEBRUARY 2,202S <br /> STATE APPROVAL <br /> [for completion by Division[ <br /> (a) The Board hereb ap roves the transfer of permit number." l9� from <br /> t0 <br /> (b) The Board hereby recognizes�,i 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 + fin y\Sl_ 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 COLORA.DO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By: Date Executed: • ZC1• <br /> Division Director <br /> - 1� - <br />