2005-07-25_REVISION - M1978221 ‎(2)‎

• Permit No: M1978221
• IBM Index Class Name: Revision
• Doc Date: 7/25/2005
• Doc Name: Transfer of Permit and S.O. application
• From: Lowell Klinglesmith and Lenny Klinglesmith
• To: DMG
• Type & Sequence: SO3
• Media Type: D
• Archive: No

m~ ~62z1 ~'
Lo(uer\ l~\tr341r~lmt~r~ ~ l.el~rv~
J ~lirt~n;~-g~ /

STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY ,~
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: (303) 832~B106
I~g~~9?l~~;
JUL 2 5 2005 ~

TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS
APPLICATION FORM L/
COLORADO
DIVISION OF
MIN&RALS
GEOLOGY
RECLANATInN•nININL
SAEETY•SGiENCE
Bill Owens
Governor
Russell George
Executive DireOOr
Ronald W. Cottony
Division Director
Natural Resource Trustee
The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Applicator Form; 2)
an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized
signature of the Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an
original notarized signature. To expedite processing, please provide the information in the format and order described below.
L FINANCIAL W TY INFORMATI N (Choose ONE Option):
b/a t/ U s
i
1. Option A: ~J G Cu
~
~
I wish to WAIVE MY RIGHT to a 30-day processing time to allow the
(Initi
e Division of Minerals and Geology to recalculate the Financial Warranty
requrements. If you choose Option A you should not submit IE Financial
Warranty and Performance Warranty until the Division notifies you of the
correct amount of your warranty requirements.`
2.Ootion B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I
(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount
as the Financial W artanty maintained by the current operator. I lmderstand
that the Division of Minerals and Geology will recalculate the required
reclamation bond within 60-days from the date that the transfer is completed
and the required FINANCIAL WARRANTY COOLD BE
SUBSTANTIALLY INCREASED at that time. As the Erew operator, i agree
to be responsible for posting any required increase to the financial wartanty
for good cause shown, in a forth acceptable to the Board, within 50.days of
such notice.
ND J ~ /I~D/~~
~~/23
Office of Office of G{olorado
Mined Land Reclamation Active and Inactive Mines Geological Survey