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NOTARY FOR PROSPECTIVE SUCCESSOR <br /> STATE OF e`jpd ) <br /> ) ss.: <br /> COUNTY OF �C.,c2Y5Ly1 ) <br /> The foregoing instrument was acknowledged before me this 2' day of kipIxVY► , Z42-S' , <br /> by JYA.IJ Is Sm i t-h as G.Q r4 Q VYvt,I'1Qg/X of Amri2P (d)anei' C a—I t i nC <br /> SARAH GREGA Notary Public �L <br /> NOTARY PUBLIC My Commission Expires ZI yt (Zcl <br /> STATE OF COLORADO <br /> NOTARY ID 20174007757 <br /> my csomMISSIQN cXPIgS FE BRUAL1),..214,1c1,29 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 />