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<br />reclamation only if the Board has determined: <br />i. that reclamation required Dy lea to <br />have oeen 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 lawsr if any, have Deen initiated. <br />6. The aclditiOnal stipulations set forth in the <br />attached rider, if any, are incorporatetl herein by reference. <br />/____/ a) Rider is attached. <br />/_!L_/ b) No rider is attached. <br />aCCEPTED aND AGREED: MINED LAND RECLAMATION BOARD <br />MINED LAND RECLAMATION) DIVISION <br />COLORADO CEPARTMENT OF <br />-r --- ~.~~~_ ~ <br />~SZO C.Jt_/~ S~ ~cl4;lo f/ov1 <br />Operator / <br />sy <br />NATURAL RESOURCES <br />s ~ ~ \ L <br />Division Director <br />NotJa,,rization of Operator's Acknowledgment <br />STATE--- C o1°-r4~ -~-------- ) <br />55• <br />COUNTY DF__~~iygr_-----_-) <br />The foregoin~3 instrument was acknowledged before me <br />tnis o?~ ~ day of _ JKne_____~ Iqg_ by ___ as _ of _, the operator. <br />------~~° ~'i~~-~--~''----------- <br />NOT:RY PU6LIC <br />-4- <br />