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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of NaWral Resources <br />STATE OF COLORADO <br />e~ db aJ~~ <br />1373 Sherman St, Room 275 r~la 'r <br />Denver, Colorado 80203 R~ V V C <br />Phone: 1303) 866-3567 ~/~ <br />fAX: (303) 832-8106 ~ ~ ; (~ t7 <br />~- e~ ! - MAR 3 0 .~ ~ ~bZ <br />~~b^ <br />oQ-~ Division of Reclamatio <br />EE6 ~,~ 1 .~t1 ~. Mining and Safety <br />ptt\s `ntto9a 65a(EgANSFER OF PEILYIIT AND SUCCESSION OF OPERATORS <br />M APPLICATION FOILYI L/ <br /> <br />COLORADO <br />D I M S ION O F <br />RECLAMATION <br />MINING <br />SA ETY <br />Bill Owens <br />Governor <br />Russell George <br />LXKULryP. D4(eCtnl <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />The application for a Transfor of Pertnit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the information in the format and order described below, <br />1. FINANCIAL WARRANTY LNFORMATION (Choose ONE Oration): <br />1. Option A: <br />(Initial & Date) <br />2. Option B: (I ~ O(o <br />( nttial & Date) <br />ottice nt <br />Mined L'snd Reclamation <br />I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial W arranty and Performance W atranty until the Division notifies you <br />of the correct amount of yore warranty requirements.* <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Warranty maintained by dte current operator. I mtderstand <br />that the Division of Reclaration, Mining and Safety will recalculate the <br />required reclamation bond within 60-days from the date-that the transfer is <br />completed and the requved FINANCIAL WARRANTY COLL,D_BE <br />SUBSTANTIALLY INCRF;ASED at that time. As [he new operator, I agree <br />to be responsible for posting any required increase to the financial warranty <br />for good cause shown, in a fomt acceptable to the Eioard, within 60-days of <br />such notice. <br />N ad = nION L% <br />RQT- - kcz w~ ' <br />Office of <br />AQfVP, and Inactive Mines <br />