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Application Checklist <br />ET' Application Form: Complete the form located on page 5. <br />9 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />a 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 bM://mininiz.state.co.us/.N4ineral%2OForms.htm). <br />E� 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 />I/ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />JUN 19 201 <br />Division of Rerl- 4gni, <br />mining ;tjy <br />-4- <br />