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Construction Materials (C.R.S. § 34-32.5 -101 et. seq.) ("Construction Materials Act') and <br />associated Rules (2 C.C.R. 407-4) ("Construction Materials Rules'j, with respect to any other <br />operation conducted by the Prospective Successor in the State of Colorado. <br />Penmittee and Prospective Successor hereby request that the Mined Land Reclamation <br />Board (`Board") approves their SO Application, recognizes the Prospective Successor as <br />Successor Operator under the Permit, accepts the Prospective Successor's Performance and <br />Financial Warranties, and releases the current Permittee's Performance and Financial Warranties. <br />SIGNED, SEALED AND DATED this day of " °,9013 <br />PERMITTEE PROSPECTIVE SUCCESSOR <br />Clyde Couch, 122 State Street, Sterling, CO 80751 Kristine M. Couch, 5963 S. olive Way. Centennial. Co 80112 <br />N e of Permittee Name of Prospective Successor <br />BY I By !-" 1 d d^'� ( L- <br />SiFatute of Officer Signature of Officer <br />Title of Officer Title of Officer <br />NOTARY FOR PERMITTEE <br />STATE OF C© le, -aWO ) <br />ss.: <br />COUNTYOF IOCZdl) ) <br />The foregoing instrument was aclmowledged before me this y`r day of yl a �1 . °? d /3 <br />by 114,4 Ake ell s aP was ��rr�.l« of L'alime <br />Notary Public <br />My Commission Expires <br />RANDALL D. SCHAFER <br />' NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 19954016062 <br />MY COMMISSION EXPIRES 12106/2016 <br />-9- <br />