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o's od <br />P,ev <br />pe,G�t dA <br />W A00I 10 <br />Application Checklist <br />®' Application Form: Complete the form located on page 5. <br />-0 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />® Performance Warranty: Complete the form located on page 11. <br />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%20Fonns.htm). <br />JJ 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 />AUG 17 2015 <br />Division of Reclamation, <br />Mining & Safety <br />