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STATE OF COLORRDO <br />DIVISION OE RECLAMA710N, MINING AND SAFETY <br />Departmem of Natural Resources <br />1313 Sherman S[., Room 275 <br />Denver, Colorado 60203 <br />Phone: 1303) 8663567 <br />FAx: (303)832-8106 <br />RECEIVED <br />OCT 012007 <br />Division of Reclamation, <br />Mining and Safety <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />COLORADO <br />DIVISION Or <br />RECLAMATION <br />MINING <br />-~~ <br />SAFETY <br />BiII Owens <br />Governor <br />Russell GEt,rge <br />Exttiutive Director <br />Ronald W. Cattany <br />Division Direcror <br />Natural Resource Trustee <br />The application for a Transfer ofPemtit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application E'er, 3) a Perfomwlce Warranty (attached as part of the Application Package) bearing the original notar'ved <br />signature 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 />FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. Option A: ~~5 ep - o ~ wish to NAIVE MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) Division of Reclamation, Mining and Safety 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 cortect amount of your wartnnty requirements.* <br />2. Option & [ DO NOT W[SH'I'O WAIVE MY RIGHT to a 30-day processing tune. I <br />(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Wartanty maintained by the current operator. I tmderstand <br />that the Division of Reclamation, Mining and Safety will recalculate the <br />required reclamation bond within 60-days from the date that the uaosfer is <br />completed and the required FINANCIAL WARRANTY COLLD BE <br />SUBSTAN'T'IALLY INCREASED at that time. As the new operatoy I agree <br />to be responsible for posting any required increase to the financial warranty <br />fur gocxl cause shown, in a foray acceptable to the Board, within 60-days of <br />such notice. <br />D~ <br />V N <br />~-~~ ~ ~ li a ~7or~~ <br />ofr~e at <br />Mined Land Rerlalna[ion <br />orfire t>t <br />Active and Inactive Mines <br />