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<br />OfVtS10N OF MINERALS ANO GEOLOGY <br />Deµinment of Natural Resources <br />1313 Sherman SI., Ronm 21 i <br />Denver, Colorado 80203 <br />Phone: 13031866-3567 <br />FAX: 13031 832-8106 <br />M - Sb -l3l <br />~2re;~ 789 $ l as, o0 <br />STATE OF COLORADO <br />RECEIVED <br />JUN 1 72002 <br />FiECE1VED <br />JUN 2 6 2402 <br />Division of Minerals and GeologVDivfaion of Mioerala a~ GealoGy <br />TRANSFER OF PERMIT AND SUCCESSION OF OP ORS <br />APPLICATION FORM TCE9o~~E® RGoverrgr <br />JUL 0 3 2002 E~ wSKo ~'« <br />Michael 8. Long <br />Division of Minerals and Geology oivrsion olrecra <br />The application for a Transfer of Permit and Succession of Operators must contain four {4) major pans: 1) so Application <br />Form; 2) an Application Fee; 3) a Performance Wananty (attached as pan 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 />Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format <br />and order described below. <br />Permit#: - 14QA - I ~~ Confidental?: _~_ <br />Class: Ke/~vreiA,... Type-Seq.:S~ - <br />From: I,f.Mwr lsaeskl THr_ To: ~OVt~ <br />Doc. Na-me v av <br />I. I~ANCIAL WARRANTY INFORMATION Doc. Date (if no date stamp): <br />1. Option A: <br />(Initial ~ Date) <br />2, Option B: ~ Oti' <br />(Initial & Date) <br />I wish to W AIVE 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-day 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 SUBSTANTIALLY MCR AE SED at that <br />time. As the new operator, I agee 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 />iJaV~ My I~ t 005 ~ <br />~t~= I1115~b2 <br />