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r~-85-ai8 <br />a°2c_eip~-~IfoB ~ (~r~o <br />STATE OF COLORADO <br />DIVISION Of MINERALS AND GEOLOGY <br />Ocpinmenl of Nawral Resources <br />3135hemwn Sl., Rorsm 2,; ~ RECEIVED <br />(knvcY, Cobrado 80203 <br />IMxsne:1303) a66-3567 JUL 13 20U2 <br />FAX: 13D31 832-6106 <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />Wry Romer <br />canes s. L«nne,a <br />Ececutive Director <br />Michael 8. Long <br />Division Director <br />The application for a Transfer of Permit and Suaxssion of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Warranty (attadted as part of the Application Package) bearing the original <br />notarized signature of ffie 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 infotntation in the format <br />and order described below. <br />~--- - <br />Permit #: /~- Q$.'~ - 2 ($ Confidental?: N <br />Class: VlJlor Type-Seq.: ~[5 _r~ <br />L FINANCIAL WARRANTY INFORMATI From: ~ es r~ To: 7~iVl <br />Doc. Na e:5 t °~ Idf ante (az!s <br />Doc. Date (if no a e stamp): cZ3 QA ~ <br />I.Option A: <br />(Initial & Date) <br />2.O~tion B: /~jir~_ <br />(Initial & Date) <br />I wish to WAIVE 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 WANE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial Wartarlty 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 FMANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, 1 agree to be responsible for posting any <br />required increase to the financial warranty for good cause shown, in a <br />form acceptable [o the Board, within 60-days of such notice. <br />NO~f -Mv ~~l~1io b31 <br />No ~~-0lu~lol'1 <br />-(~F = ~I I~ ~03 <br />