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~, III IIIIIIIIIIIIIIII ~ STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY Ucpanmcnl of Naturl Resources 111) ihc~rmdn 5~ , Ronm j l i Denver, Culnradu A0.:01 Phnne: 13031 9fi6-) 51; 7 Fit. IlU.L 8)_'-H 106 TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM RECcI JUN 0 ~~~~ Division of Minel~fSAT ~Z RESOURCE ~ Roy Romer Go•ernor lames S. LochheaA E.rcmive D~recror Michael B. Long D~~is~on Duenor The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format and order described below. 1. FINANCIAL R'ARRANTY INFORMATION (Choose ONE Oytion): 1. Ootioo A: (Initial & Date) 2.ODtionB: ~,l-IIL~ (Initial & Date) ~~o Jo ~'p~^0 8~ S I wish to WAIVE MY RIGHT to a 30-day processing time to allow the Division of Minerals and Geology to recalculate the Financial Warranty requirements. 1 p0 NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I hereby submit a replacement Financial Warranty for the same dollar amount as the Financial Warranty maintained by the curtent operator. I understand that the Division of Minerals and Geology will recalculate the required reclamation bond within 60-days from the date that the transfer is completed and the required FMANCIAL WARRANTY COULD BE SUBSTANTIALLY INCREASED at that time. As the new operator, I agree to be responsible for posting any required increase to the financial wartanty for good cause shown, in a form acceptable to the Boazd, within 60-days of such notice. ~ r. K~ l~q ~-03~ MV 19q~-oi~