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i ~ <br />reclamation only if the Board has determined: <br />i. that reclamation required by law 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 />h. The additional stipulations set forth in the <br />dtLaChed riders If dny, are InCOrpordted herein by reference. <br />/____/ a) Rider is attached. <br />/__~/ b) No rider is attached. <br />ACCEPTED AND AGREED: <br />MINED LAND RECLaMATION BOARD <br />MINED LAND RECLAMATION DIVISION <br />COLORADO CEPARTHENT OF <br />NATURAL RESOURCES <br /> <br />By <br />tarization of Gperator's Acknowledgment <br />STaTc_ ____) <br />- --- <br />COUNTY OF__ __) <br />The foregoing ~ trument was acknowledged before me <br />tnis ~ ~ day of ~ __s 19~ by _ _ as _ of _, the operator. <br />i <br />NOTARY PUB C <br />Division Director <br />-4- <br />