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<br />~~ <br />reclamation only if the Board has determined: <br />i. that reclamation required by lea to <br />have peen performed upon such lands has not been performed. <br />and <br />ii. that financial warranty forfeiture <br />proceedings described in the act or similar provisions of <br />subsequent lass, if any, have been initiated. <br />5. The additional stipulations set forth in the <br />attached rider, if any, are incorporated herein by reference. <br />/____/ a) Rider is attached. <br />/_ ~ / b) No rider is attached. <br />ACCEPTED AND aGREEO: MINED LAND RECLAMATION BOARD <br />MINED LAND RECLAMATION DIVISION <br />COLORADO CEPARTMENT OF <br />NATUR4L RESOURCES <br />~~ ~.. =___~d~ <br />Operator <br />8 Y • --~°~`- ~ --- ---- <br />.<~ ;;.~ <br />-,~:. <br />Division Director <br />~N~o~ta~rlization of Operator's Acknowledgment <br />___-) 55. <br />COUNTY OF_~~ ___~J ) <br />The forego~n instrument aas acknoaledced before me <br />tn~s 2~ day of ~~ ___, 19g~ by ___//Maw/s/~r_~oVf _, the operator. <br />_ NOTARY PUBLIC ~~~ ~~~~"` ~"-"~% <br />-4- <br />