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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF U 0 �._....° ............................... ) <br /> ss,: <br /> COUNTY OF_9,A- w. !�-h(gip .�.... ) <br /> The foregoing instrument was acknowledged before me this day of_ , <br /> by as `� of 6 + L <br /> _..... Nm,K <br /> is F a�V L UO F "��a_ Notary Public <br /> Notary �'�str 1 <br /> State of Cap&ora o My Commission Expires ,�O U* �"1 �2(r <br /> Notary 0#2 1840 3855 <br /> y�:aznm�adssion E,xpires f�6...Q�7.2026s <br /> -, ......... .. .,.. <br /> STATE APPROVAL <br /> [for completion by Division] <br /> Boar y approves permit number from <br /> The � of emu <br /> (a) T d hereby a es the transfer <br /> b) The Board hereby w <br /> ( y 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 W m .... __ as former Permittee from all obligations under <br /> its Performance and Financial Warranties. The Board further releases all affected fmancial 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: W _ ,,. Date Executed: <br /> Divisi Director <br /> - 10 - <br />