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STATE OF COLOI~DO <br />~' DIVISION OE RECLAMATION, MINING AND SAEETY ~~ ~rVYI Q /f Cbm ~ - <br />Depanment of Natural Resources ~ <br />13 t 3 Sherman St, Room ? t 5 RECE~V <br />Denver, Colorado 80203 ~D C O L O R A D O <br />~t^ DIVI S ION OF <br />Phone: (309) s66-3567 `'.1 7 n ~ ~nn~ ~ RECLAMATION <br />FAX (3031832-8106 DIVI810n Of Reclarn M I & NG <br />~~ / MlAinq enq gafe none SAFETY <br />,F2~~ Pa~ke,~s°/~ fro-1~~s ry <br />Bill CM~ens <br />Gasornnr <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />Ru<,ell George <br />_ ~ L/ APPLICATION FORdI ~ txennhe Dtrenor <br />~~ ~ Ronald W. Caltam <br />Divlcinn Dimctcr <br />~ /^~~ ~ Natural Resource Trunee <br />,~-rq8`~ V <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Fomt; 2) <br />an Application Fcc, 3) a Performance Warranty (attached as pan of the Application Package) bearing the original notarized <br />signamre 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 />recd bq efr 6n w~, <br />F'INANC[AL WARRANTY LVFORMATION (Choose ONE Oo[ion): <br />L Option A: <br />(Initial & Date) <br />I wish to WAIVF MY RIGHT to a 30-tlayproccssing time to allow the <br />Division of Reclamation, Mining and Safery to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial W arranty and Performance Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* <br />2. Option B: X~Q 3-06 <br />(Initial & Date) <br />I DO NOT WISH T'O WAIVE MY RIGHT to u 30-day processing time. I <br />hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial W'artanry maintained by Ute current operator. I wrderstand <br />that the Division of Reclamation, Mining and Safety will recalculate the <br />required reclamation bond within 60-days from the date that the transfer is <br />completed and the required FINANCIAL WAKR~NT'Y COL'L_U- BE <br />SUBSTANT[AI_LY INCREASED at that time. As the new operator, l agree <br />to be responsible for posting any reyuired increase to the financial warranty <br />fur good cause sboun, in a fomr acceptable to the Board, within GO-days of <br />such notice. <br />O(fce of <br />Mined land Reclamation <br />Office of <br />Active end Inattivc Mines <br />