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r'l- -1z- 048 <br />7845 ~ ias ~ <br />STATE O <br />DIVISION Of MINERALS AND GEOLOGY I~GI°CI V C V ~~I VED <br />I1L'Vanmenl of Natural Resources 1' I <br />1313 Sherman 51., Room 215 ,JUN ~ ~ 2002 JU( 0 ~ 200'1 <br />Denver, Colorado 80203 OIVISI <br />EAXnIJD OB'J2~81 16 7 Division of Minerals and Geoiagy °° °f Mr~erals and G°°I°gy <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />. ~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />Roy Romer <br />CAVMgr <br />lames 5. Lochhead <br />Eattutive Din+.tlor <br />Mithxl 8. Lang <br />Division Diretror <br />The application for a Transfer of Pemlit and Succession of Operators must contain four (4) major pate: 1) an Application <br />Fotm; 2) an Application Foe; 3) a Perfomrance Waranty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Opceator, and, 4) a replacement Financial Warranty 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 />I. FINANCIAL WARRANTY INFORMATIOD <br />I.Option A: <br />(Initial & Date) <br />2. Option B: (~x ~v <br />(Initial & Date) <br />Permit #:~ - / 417- Dog Confidental?: ~_ <br />Class: Dt5ror- Type-Seq.: <br />From: a. a,rr G ° l,nt To: ~WtG <br />Doc. Name: SDArn l.t)IVt 1\1„r^l~Bl~vt -~. ~ LJe&~ <br />Doc. Date (if no date stamp): ]3(02 <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~ay processing <br />time. I hereby submit a replacement Financial Warranty 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 SU$STANTIALLY INCREASE 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 />forth acceptable to the Boazd, within 60-days of such notice. <br />Nor= NbNE <br />~~- i~~16~02 <br />