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_ ~r6rn, '~he~r~ Ceramics I r~~ <br />~ ~ o I ~-t3 >e <br />~o - I <br />STATE OF COLORADO <br />/DIVISION OF MINERALS AND GEOLOGY t/ <br />Department of Natural Resources <br />I r <br />1313 Sherman St., Room 215 FcF <br />Denver, Colorado 80203 ®~ <br />Phone: (303) 566.3567 qp <br />F® <br />FAX: (303) 532.5106 R <br />D/~/S/oo D~~/yE. <br />` <br />'r(/ <br />r <br />o/~ <br /> ige <br />~ <br />t/ <br /> B/Sgo~ <br />C <br />a <br />TRANSFER OF PERMIT AND SIICCESSION OF OPERATORS <br />%By <br />APPLICATION FORM <br />COLORADO <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECIANATION•NINING <br />EAFETY•ECIENC! <br />BIII Owms <br />Governor <br />Greg E. Walther <br />ExeMive Director <br />Ronald W. Cottony <br />Division Director <br />Natural Resource Trustee <br />The application for a Trend's ofPermit and Successor of Operators must contain four (4) major parts: 1) en Application Farm; 2) an <br />Application Fee; 3) a Performance Warranty (attached as part ofthe ApplicetianPackage)beatingthe origmalnota~ized signanae ofthe <br />SIaX:e590r Operator; end, 4) a replacement Flnancial Warranty provided by the Successor Operator, bearing 8n original notarized <br />signature. To expedite processing, please provide the information in the format and order described below. <br />FINANCIAL WARRANTY INFORMATION (Choose ONE Ootionl: <br />1. lion <br />(Initial ~ Date) <br />2.Oolion B: ~ o -~ -o fL <br />(Initial & Date) <br />I wish to WAIVE MY RIGHT toe 30day processing time to allow the <br />Division of Minerals and Geology to recalculate the Financial Warranty <br />requirements. If you choose Option A you should not submit a Financial, <br />Warranty end Performmce Warranty Imtil the Division notifies you of the <br />correE,t amount of yom~ warranty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT toe 30-day processing time. I <br />hereby submit a replacement Financial Warranty for the s®e dollar amount as <br />theFinaacial Warrardymaintainedbylhecurrent operator. Iltadest®d that the <br />Division of Mmerals end Geology will recalculate the required reclamation <br />bond within 60-days from the date that the tran~'er is completed and the <br />regl>ffed FINANCIAL WARRANTY COULD BE St1BSTArlTtnT.T.y <br />pVCREASID et that time. As the new operator, I agree to be responsible for <br />posting nay required increase to the financial warranty for good cause shown, iD <br />a form acceptable to the Board, within 60-days of such notice. <br />ice of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />