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I ncq (CIAM <br />�%ragca-©qO <br />Application Checklist <br />�1 Application Form: Complete the form located on page 5. <br />yl Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. j 14 Y <br />E9 Performance Warranty: Complete the form located on page 11. <br />�l Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />replacement Financial Warranties using the forms posted on the Division's website <br />(available online at http://mining.state.co.us/Mineral%2OForms.htm). <br />❑ Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />rights, obtain the documentation described above, and submit to the Division. <br />❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />RECEIVED <br />JUN 0 5 2015 <br />Division of Reclamation, <br />Mining & Safety <br />