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RECEIVE <br /> DEC 2 3 2024 <br /> Application Checklist <br /> Colorado Division of Reclamation, <br /> tt Application Form: Complete the form located on page 5. Mining and Saftey <br /> 04 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> 45 Performance Warranty: Complete the form located on page 11. <br /> 0 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%20Forms.htm). <br /> WA/T/N( oN sm9 ! G/5/aN <br /> 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 /> Se Co✓ems. G ErrE/L, Nv £ EYIWt EpvT , t ciig2Ei <br /> Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> S cc ✓02_ LPL <br /> -4 - <br />