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SO G M �ae3—octo <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resource; <br /> 1313 Sherman St.,Room 215 A-41W <br /> Denver,Colorado 80203 C O L O RA D O <br /> Phone:003)866.3567 D r V I i t o N o f <br /> FAX:(303)832-8106 RECLAMATION <br /> MINING <br /> SAFETY <br /> TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS RECEIVED <br /> APPLICATION FORM <br /> JUL 0 5 2012 <br /> Division of Reclamation, <br /> Mining&Safety <br /> The application for a Transfer of Permit and Succession of operators must contain four(4)major parts: 1)an Application Form;2) <br /> an Application Fee; 3) a Performance Warranty(attached as part of the Application Package)bearing the original notarized <br /> signature of the Successor Operator;and,4)a replacement Financial Warranty provided by the Successor Operator,bearing an <br /> original notarized signature. To expedite processing,please provide the information in the format and order described below. <br /> FINANCIAL WARRANTY INFORMATION(Choose ONE Option): <br /> 1.Option A: I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br /> (Initial&Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br /> Warranty requirements. If you choose Option A you should not submit a <br /> Financial Warranty and Performance Warranty until the Division notifies you <br /> of the correct amount of your warranty requirements.* <br /> 2.Option B: I L I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br /> (In i' &Date) hereby submit a replacement Financial Warranty for the same dollar amount <br /> as the Financial Warranty maintained by the current operator. I understand <br /> that the Division of Reclamation, Mining and Safety will recalculate the <br /> required reclamation bond within 60-days from the date that the transfer is <br /> completed and the required FINANCIAL WARRANTY COULD BE <br /> SUBSTANTIALLY INCREASED at that time. As the new operator,I agree <br /> to be responsible for posting any required increase to the financial warranty <br /> for good cause shown,in a form acceptable to the Board,within 60-days of <br /> such notice. <br /> O � <br /> Office of Mined land Reclamation OfficeDenver • Grand Junction a Durango Active and Inactive Mines <br />