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So <br /> c�I���- 0 2 STATE OF COLORADO ' <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Departrnent of Natural Resources <br /> 1313 Sherrnan'St.,Room 215 <br /> Denver,Colorado 80203 C O L O R A D O <br /> D I V I S I O N O F <br /> Phone:(303)866.3567 RECLAMATION <br /> FAX:1303)832-8106 MINING <br /> SA FETY <br /> TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br /> APPLICATION FORM RECEIVED <br /> MAY 18 2012 <br /> LAVJSiUrl of clamation. <br /> The application for a Transfer of Permit and Succession of Operators must contain four(4)major parts: 1)an Applicati(M <br /> an Application Fee; 3) a Performance Warranty(attached as part of the Application Package)bearing the original no7a2& afety <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 DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br /> (Initial&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 /> /�f oK e <br /> /?—C/Z— <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction . Durango Active and Inactive Mines <br />