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S-/UI]17JJ r... ~~ ~ <br />N <br /> <br />TRANSFER OF P£RMI7 AND SUCCESSION OF OPERATORS <br />APPLICATION fORM <br />Qa.,.... t nl~-.(r. <br />^1 - 9Y-i/3 <br />The aDDllcation for a Transfer of Permit and Succession of Operators muff contain four <br />(4) ma~Or parts: 1) an Application Form; 2) an Application Fee; 3> a Performance <br />Warranty (attached as part of the Application Package) bearing the original notarized <br />slgnsture of the Successor Operator; and, 4) a replacement Financial Narranty provided <br />by the S11CC~SOr Operator, Dearing an original notarized signature. To expedite <br />processing, please provide the information in the forx~at and order described Deior. <br />I. FINANCIAL NARRANTY INFORMATION (Choose ONE tf n): <br />1. Sion A: <br /> <br />(Initial 6 Date) <br />2. lion B: S .~-+JfF <br />(Initial S Date) <br /> <br />I rich to W1IYE MT RIGHT to a 3D-day <br />processing time to allow th• Division of <br />Minerals and Geology 20 recalculate the <br />Financial Warranty requirements. <br />1 DO NOT NISH TG WAIVE MY RIGHT to a <br />30-day processing time. I hereby submit a <br />replacement Ftrtanclal Narranty for the same <br />dollar amount as th• Financial Warranty <br />maintained by the current operator. I <br />understand that the Division of Minerals and <br />Geology will recalculate the required <br />reclamation bond rithin 60-days from the <br />decision date and the regytred NANCIAL <br />WARRANTY COULD 8E SUBSTANTIALLY INCREASED at <br />that time. As the her operator, I agree to <br />De responsible for posting any required <br />increase to the flnanttal warranty for good <br />cause shorn, 1n a form acceptable to the <br />Board, rlthln 60-days of Such notice. <br />r <br />