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<br />~-adao o~-c <br />eu~c-i< 706 ~ laS o0 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmem of Nalnral Resources <br />1313 Sherman St., Ronm 21 S <br />Denver, Colorado 80203 <br />Phnne: 13031 866-3567 <br />FAX: I3D3i 872-8106 <br />RECEIVED <br />JUN 18 2002 <br />~ECEI!/ED <br />JUL ~ y ~ <br />Division of Minerals apd Geology DiviaionolMineralsandGoology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />DEPARTMENT O'r <br />NATURAL <br />RESOURCE: <br />Roy Romer <br />Governor <br />lames 5. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: I) an Application <br />Form; 2) an Application Fee; 3) a Performance Waranty (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 />Opetator, bearing an original notarized signature. To expedite processing, please provide the infomration in the format <br />and order described below. <br />Permit#: -a ~ Confidental?: /V <br />Class: / r31or- Type-S~~So - L <br />From: rr~ /,~g5 ~ r,),~ To: <br />Doc. Name: ~p aoA !~M Sae.~Qci,.a_. -Ib Ln~ir~ 4aesf <br />I. FUANCIAL R)ARRANTY IIYFORMATIOP Doc. Date (if no date stamp): (o (/A lDa ~ <br />1.Ontion A: <br />(Initial & Date) <br />2.O~tion B: ~ by <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 />Wamanty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial Waranty 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 MCREASED 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 />NDV= NoNt <br />lla <br />