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-7- <br />automatically expire when reclamation has been completed and sureties <br />released. <br />d. Such right to enter is in addition to other lawful rights of the State to enter <br />upon such lands. <br />15. The additional stipulations set forth in the attached rider, if any, are incorporated <br />herein by reference. <br />/_/ a) Rider is attached. <br />/X / b) No rider is attached. <br />*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />SPECIALIST MUST INSERT "X" IN APPROPRIATE BOX ABOVE <br />*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />ACCEPTED AND AGREED: <br />STATE OF L / /(j ) ss <br />COUNTY OF j " } <br />My Commission expires: <br />. )L1 <br />4 t <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />COLORADO DEPARTMENT OF <br />NATURAL RESOURCES <br />Division Director <br />The foregoing instrument was acknowledged before me this i `; day of <br />by . ( <br />of SIVUIL "[t ` <br />l Lai t f cti . , operator. <br />as � <br />11 1 Li �t'.S ( <br />i lx , r <br />i <br />, 2013 <br />Donna J. Stephens <br />Notary Public, State of Ohio <br />My Commission Expires 01 -04 -2014 <br />