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STATE OF COLOP~P~DO <br />DIVISION OF RECCAMATtON, MINING AND SAFETY <br />Department of Natural Rczpurces /~ <br />7373 Sherman St, Room 275 <br />Denver, Cobrado 80?03 ~' ~ C O L O R A D O <br />DIVISION OF <br />Phone: 1303) Sb6-3567 RECLAMATION <br />FA7i: (3031 832-8106 M 1 N I NG <br />SA FTY <br />Bill Owens <br />„~ ~. ,r-e r:--' ^ n rr^' "4` TRANSFER OF PECLVtiT AND SUCCESSION OF OPERATORS ~~ Governor <br />~~ Russell George <br />1 ~~~~ APPLICATION FORr'SI rxennive Duecror <br />• r (/ <br />F'It1~ ~n ~~~~jr~'~ C~.P Ronald W.Caaany <br />of tieelamation. / i ~~, l V~r Division Director <br />~• {>v-/ ' Natural Resource Trustee <br />pivision and Safety ~~11 <br />ylinin9 ~ ~ ~ ~ $~ ' ~S,S~7~~ <br />The application for a Transfer of Pemut and Succession ofOperators must contain four (4) major parts: 1) an Application Fomt; 2) <br />an Application Fec; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator; attd, 4) a replacement Finaucial Warranty provided by the Successor Operator, bearing an <br />original no4zrizud signature. To expedite processing, please provide the information is the format and order described belovr. <br />FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />L Ouiion A: -_T_ I wish to }V~IV@ MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) 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 Warranty and Performance Warranty until the Division notifies you <br />y of the correct amount of your warranty regturements.* <br />2. Option B; ^ __ [ DO NOT W ISH TO WAIVE MY RIGHT to a 30-day processing time. [ <br />(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Warranty maintained by [he current operator. I understand <br />that the Division of Reclamation, Mining and Safely will recalculate the <br />required reclamation baud within 60-days From the date that the transfer is <br />completed and the required FIb3AyCTAL WARRANTY COiLU BE <br />SUBS'fANT'IALLY LNCR6ASED at that time. As the new operator; I agree <br />[o he responsible for posting any required increase to the financial warranty <br />for good cause shown, in a form acceptab(c to the Board, within 60-days of <br />such notice. <br />i/Ol/= ! v0~ P <br />~P~~-~.e =z/2~2o08 <br />Office of Office of <br />Mined land Reclamation Active and Inactive Mines <br />