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- STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY ~ ~ -. <br />Department of Nawral Resources ~~ ~ ~ ~ - RECEIVED <br />-1.7135herman iL, Rnnm?li <br />Denver, eomrado eozo3 ~ FEB 2 0 2002 <br />Phone: 1J031866J567 - <br />FAX:13031832-8106 <br />DEPARTMENT OF <br />Division of Minerals and,Geokgy NArTi TR A T <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />Ruy Romer <br />Gmernor <br />lames 5. Lochheari <br />Executive Director <br />Michael B. Long <br />Divrsion Director <br />~' <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major p s: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Womanly (attached as part of the Application Pac ge) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacerent Financial Warranty rovided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, please provide a information in the format <br />and order described below. <br />I. FINANCIAL WARRANTY INFORMATION <br />I. O hn 'on A: I wish to <br />(Initial & Date) the Division <br />to a 30-day processing time to allow <br />and Geology to recalculate the Financial <br />Warranty <br />QZ.tb <br />2. Option B: ~1" ~ I <br />to a 30-day processing <br />(Initial 8c Date) une. I hereby submit a replacement Financial Warranty for the same <br />dollaz 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 INCREASED 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 />Nov = Nor~~ <br />~t~ = inl~ ~~oz <br />