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STATE OF COLORADO <br />DIVt90N OF RECLAMATION, MINING AND SAFETY <br />Department of NaNral Resources <br />Room 275 <br />St RECEIVE D <br />, <br />13t 3 Sherman C O L O R A D O <br />Denver, Colorado 80203 ~ <br />(~ <br />9 2 <br />Phone: (303) 8663567 , <br />Q <br />Q07 RECLAMATION <br />rAx: t3o3i 832-8106 M I N I N G <br /> Divlslon of Reclemation, - &- <br /> Mining and Safety SAFETY <br />Bill Owens <br />TRANSFER OF PERMIT AND SLtCCESSION OF OPERATORS Governor <br />Rusxil George <br />APPLICATION FORM txe[urrve oirectm <br />Ronald w'. Cottony <br />Division Dinxmr <br />Natural Re-xomcx TruRee <br />The application for a'Cransfer of Pernilt and Succession of Operators mast contain four (4) major parts: 1) an Application Farm; 2) <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarizett <br />signattu'e of the Successor Operator; and, A) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide tyre information in the fomyai and order described below. <br />I. P7NANCLAi. WA TY 1NFORMAT[ON (Choose ONE Opton): <br />L O ton A: Q~~ ~~ I wish to WAIVH MY RIGHT to a 30-day processing time to allow the <br />( vial & Date} Division of Reclamation, Mining and Safuty to recalculate [he Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial Warranty and Performance W urranty until the Division notifies yon <br />of the correct amount of your warranty requiremenis.° <br />2. Option B: L DO NOT WISH'CO WALVE MY RIGHT to u 30-day processing time. I <br />(Initial & Datr) hereby submit a replacement Financial W arranty for the same dollaz amount <br />as the Financial Warranty maintaineet by the current operator. I understand <br />that the Division of Reclamation, dining and Safety will recalculate the <br />required reclamation band within 60.days from the date that the traetsfer is <br />completed and the required FINANCiAI. WARRANT~COULD._13F <br />SUBS'fANTIALLI' INCRE~SFD at that time. As the new operator. I agree <br />to be responsible for posting any reyuired increase to the financial warranty <br />Cor good cause shown, in a form acceptable to the Board, within GO-days of <br />such notice. <br />Office of Office ni <br />Mined Land Reclamation Active and Ina[live Mints . <br />