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STATE OF COLQRADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resqurces <br />1311 Sherman St., Room 275 / <br /> <br />Dem~er, Cobrado BO203 C~ <br />I , C O L O R A D O <br /> <br />D I V i 5 1 D N O F <br />Phone: (30318663567 RECLAMATION <br />FAX: (3031 832-8 tQ6 ~~'~~ <br />' M 1 N t NG <br /> Sb f <br /> SA <br />TY <br />Bill Chnens <br />pq, ( ~~ TRAIVSFF.R OF PEIL111T AND SUCCESSION OF OPERATORS co~eranr <br />C Russell George <br />~~^ ~~ ~ APPLICATIONFORrYI ~/' F.xecuGVeDlre4or <br />q /~ <br />1 \(~~ Ronald trV. Catlany <br />C1~'~` 2 ~;,,m~l`pP't/~ n~sdn /('tf'^~'jlu~J ~~ Division Director <br />DNtston~9 x if Safety / ~ ~! '- ~~ ~~ ~ ,r / r (~ ~;atual Resource Tru=_ree <br />stn 1`' ~ ~ (~ `I'/ V <br />The appiicafion for a "transfer ofPermit and Succession of Operators must contain four {4) major parts: ]) an Application Form; 2) <br />an Application E'ec; 3) a Performance Warranty (attached as part of the Application Package} bearing the original notazized <br />signature of the Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the information in the format and order described below, <br />I. FINANCIAL WARRANTY INFORMATION (Choose O1VE Ontion): <br />1. Option A: _~_ 1 wish to CAI V C• MY RIGHT to a 30-day processing time to allow [he <br />(Initial & Date) Division of Reetamadon, 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 anti) the Division notifies you <br />of the correct amount of your warranty rcquirements.* <br />2. Option B: X ___ I DO NOT WISH'1'O WAIVE MY RIGHT to a 30-day processing time. I <br />(initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Warranty maintained by the current operator. I understand <br />that the Division of Reclsmation, Mining and Safety will recalculate the <br />required reclamation bond within 60-days from the date that the transfer is <br />completed and rite required FitiANCiAL R`AKgAN'I'Y' COIII_~_BE <br />SUBS'1"A ~i'i'IALLY hNCRE~SED at that time. As the new opcrator.l agree <br />to be responsible for posting any required increase to the financial warranty <br />Cor good pause shown, in a form acceptable to Yha IIoard, within 60-days of <br />such noficc. <br />NDV = /1~©~ne <br />~~{r ~ _ ~~ ~~ ~zoo~ <br />(~(ficer of Offiee~ of <br />Mined Lund Reclamation Active and Inactive Mines <br />