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r 001 RECEIVED <br /> vti 14 F" S <br /> OCT 0 4 2019 <br /> SJ <br /> Application Checklist DMSION OF RECLAMA11pN <br /> M1N1NG AND SAFETY <br /> f�Application Form: Complete the form located on page 5. <br /> Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> "MVPerformance Warranty: Complete the form located on page 11. <br /> ,ta0 -*❑ 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:Hmining.state.co.us/Mineral%20Forms.htm). <br /> WTI 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 /> N0 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> -4 - <br />