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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF I O 1l& ) <br /> COUNTY OF RA C) Tn C ) ) ss.: <br /> l' <br /> The foregoing instrument was acknowledged before me this a day of 11 �[ , 2i)ZJ , <br /> byJrvance C.Shajlfhb'r y icJeas 01Nut)f r of Si lievlbee90" &Prtiy,u-C. <br /> KAREN REED Notary Public �'/i��C <br /> Notary Puhiic <br /> State of Coll:,ado My Commission Expires 00-O(�j-7ofi <br /> Notary IC#2O(' Y [[O0c4 <br /> My Commission Expires tW-O6-2027 <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 />