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Sc~ -~ti <br />yh'1'1 ~ ~2-/ <br />STATE OF COLORADO <br />DIVISION OF h1INERALS AND GEOLOGY <br />Departmem of Natural Resources <br />13I 3 Sherman St., Room 2t 3 <br />Denver, CUlorado BO203 <br />Phone: (303) 866-3567 <br />FAX:(3031832-8106 <br />TRANSFER OF PERMIT <br />~iy ~pR? ' °~F® <br />~~Q <br />%'B'd`i <br />°qr <br />CeO/fig/ <br />AND SUCCESSION OF OPERATORS <br />APPLICATION FORrv1 <br /> <br />DIVISION C <br />MINERAL <br />&-' <br />GEOLOG <br />0. E'C IA MATZO <br />M IN ING•SAF-er <br />Bill Owens <br />Governor <br />Greg E. watcher <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 />Form; 2) an Application Fee; 3) a Perfonance Warranty (attached 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 signature. To expedite processing, glease provide the information in the format <br />and order described below. <br />FINANCIAL W RR ANTY INFORMATION (Choose ONE Option): <br />1. O trn 'on A: <br />(Initial & Date) <br />• ~~ ~l,l p2 <br />2. d n <br />(Initial & Date) <br />I wish to WANE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. If you choose Option A you should ILot submit <br />a Financial Warranty and Performance Waaanty until the Division <br />notifies you of the correct amount of your warranty requirements." <br />I DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial Warranty for the same <br />dollaz amount as the Financial Warranty maintained by the current <br />operator. I understand that the Division of Minerals and Geologv 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 ESE. 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 shorn, in a <br />form acceptable to the Eoard, ~vi[hin 60-days of such notice. <br />