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~ecu ~' ~~~77 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RE <br />Uepnnmenf of Nawr.l Resources CEf VED ~~ <br />1313 Sherman S., Ronm 215 <br />oe~~.t~r. ~~~~,.,~,~ A0203 MAY 151002 <br />Phone: (3031 Abb-lib? r <br />FAY: (3Q;i 812-A106 <br />Division of Minerals and Geology DEP.SRTMENT OF <br />NATURAT <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS RESOLIRCE~ <br />Roy Romer <br />APPLICATION FORM Governor <br />lames 5. txhhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer ofPermit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Forth; 2) an Appligtion Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Watranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format <br />and order described below. <br />Permit#:M-IQ83.OR9 Confidental7: rU <br />Class: Reursran Type-Seq.: .to-03 <br />From: Dou~_Qeu„I,. C~,rD+Gn~ To: Dwtc: <br />I. FINANCIAL R'ARRANTY INFORMATION (1 Doc. Name: As- T ~ n n u,iy <br />Doc. Date {if no date stamp): d3 3o w 6rov <br />1. Option A: <br />(Initial & Date) <br />2. Option B: -'v"' <br />(Initial & Date) <br />I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial Wartanty 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 financial warranty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />NOV=NONE <br />R~'11~~1oZ <br />