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~~~G <br />:1T <br />~r <br />~.~~/ <br />STATE OF COLOI~DG <br />DIVISION OF MINERALS AND GEOLOGY <br />Department or Natural Resources <br />RECEIVED <br />MAY 2 Z 2002 <br />Division of Minera{s and Geology <br />DtvlsioN c <br />MINEItAt <br />&~ <br />GEOLOG <br />0.E-C IAMATIO <br />MININ G.•SA FET <br />em oven: <br />GOVMIIOr <br />Greg E. Walther <br />Executive Director <br />Michael 8. long <br />Division Director <br />7 317 Sherman St., Room 21 i <br />Denver, Colorado 80203 <br />Phone: 1303) 866-3567 <br />FAX: (303) 832-8106 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />The application for a Transfer of Permit and Succession of Operators must contain fow (4) major parts: 1) an Application <br />Fomt; 2) an Application Fee; 3) a Performance Warranty (attacdted 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 Successor <br />Operator, bearing an'original notarized signatwe. To expedite processing, please provide the information in the format <br />and order described below. <br />I. ~tANCiAi, WARRAIV'i'Y INFO NATION (Choose ONE ODtionl: <br />1. lion A: I wish to WANE, MY RGHT to a 30-day processing time to allow <br />(Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warrantyrequirements. lfyou choose Option A you should no submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />~,l 2.ODtion B: ~ S 2~ ~ z I ~O NOT WISH TO WAIVE MY RIGFIT to a 30-day processing <br />(Initial & Date) tune. I hereby submit a replacement Financial Warranty for the same <br />" , dollar amount as the Financial Warranty maintained by the current <br />operator. I 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 completed and the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator; I agree to be responsible for posting any <br />required increase to the fmarcial warranty for good cause sho~~n, in a <br />form acceptable to the Eoard, within 60-days of such notice. NOJ'~ ~~~ <br />Ati =2-~z. <br />