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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman $t., Room 215 ~~ij /I~~ ff <br />~1 ' D I V I S I O N <br />Denver, Colorado 80203 '' <br />1r1~11.i~W yy ~'.;' <br />M I N E RA <br />Phone: (303) 866-3567 & <br />FAX: (303) 832-8106 <br /> NOV062003 Gt:oLOc <br /> RECLAMATIC <br /> MINING•SAFE <br /> ~ilaSit)n of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Bill Owens <br /> Governor <br /> APPLICATION FORM <br /> Greg E. Walther <br /> Executive Director <br /> _ Michael B. Long <br /> Division Director <br />The application fa a Transfer of Permit and Succession of Operators must contain four (4) major pans: 1) an Application <br />Form; 2) an Application Fce; 3) a Performance Warranty (attarihed as part of the Application Package) beating the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format <br />and order described below, <br />Permit #: M-1987-024 Confidental?: ~__ <br />Class: Revision Type-Seq.: sn-t <br />Ffom: Aestern av 1 F Inr TO: nME_ <br />Doc. Name: sn e,,,, er.roo r„ clee.o.-.. r_....e, <br />I. FIN NCIAi WARRaNTV INFORM <br />Doc. Date (if no date stamp) <br />1. ~gpg~: I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />& Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requrtemmts. If you choose Option A you should t24I submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />2.O lion B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial ~$ Date) tune. 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 />WARRANTI' COLii D BE SUBSTItiNTtALLY INCREASED at that <br />time. As the new operator, I agrce to be responsible for posting any <br />required increase to the finarcial warranty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />