Laserfiche WebLink
� r <br /> NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF p LOY O ) <br /> ss.: <br /> COUNTY OF (i 2j,„YL€_ ) <br /> The foregoing instrument was acknowledged before me thisat day of F�C//1419/ , (210c.2' <br /> by )r 1 ;La. !t—. , ' '-W) as 1 _ rrnati of Circpann e Poo <br /> Patty J Hevner SNI //a/7,4,,NOTARY PUBLIC Notary Public —gill <br /> STATE OF COLORADO /�(J r <br /> NOTARY ID 20134072434 My Commission Expires re77/,a,Z025 <br /> MY COMMISSION EXPIRES NOVEMBER 21,2025 <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 />