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l• ~ • <br /> <br />ll~l G ~r ~VL~l~l1LJ~ <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl of Nalunl Resources <br />1313 Sherman Sl.. Room 215 <br />Denver, Colorado 80203 <br />Phone: 1703)866.3567 <br />FAX: U031 832-0106 <br />APPLICATION FORM <br />Roy Romer <br />Go•error <br />lama 5. Lahhead <br />EsecuUVe DlleelOr <br />Mkhael 8. lad <br />Divblon Dire[IOr <br />The application for a Tratssfer ofPermit and Succession of Operators must contain four (4) major parts: I) an Application <br />Fomr 2) en Application Fee; 3) a Perfomlance Warranty (attadted as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Suxessor <br />Operator, bearing an original notarized signature. To expedite processing, please provide the inforatation in the format <br />and order described below. <br />FWANCIAL WARRANTY INFORMATION ( hoose O~V[~ption): <br />1.ODtioO.A: ~ ~ ` 1 <br />(Initial & Date) <br />2.0 'o <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />(Initial & Date) <br />I wish to WA iVfi MY RGHT to a 30~ay prooessing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty roquirements. <br />1 DO NOT WISH TO WAIVE MY RIGHT to a 30-day prooessing <br />tune. I hereby submit a replacement Financial Warranty for the same <br />dollar amount as the Financial Wertanty maintained by the current <br />operator. 1 understand that the Division of Minerals and Geology will <br />recalculate the required reclamation bond within 60-days from the date <br />that the transfer is oorrtpleted and the required FOVANCIAL <br />grARRANTy_COLn.D BF. S TA A .Y INC FASED at that <br />time. As the new operator, I agree to be responsible for posting any <br />roquirod inlxeaae to the financial warranty for good cause shown, in a <br />form acceptable to the Board, within ti0-days of such notice. <br />