Laserfiche WebLink
~j -~-osa <br />,PcE~,fd- 8/73 ~ ras, ~ <br />STATE OF COLORADO <br />DIVISION OE MINERALS AND GEOLOGY <br />Duy~artmenl of Natural Resources <br />1313 Sherman 51., Ronm 21 i <br />Denver, Colorado 80203 <br />Phone: 13031866-3567 <br />FAX: 13D3i 832-8186 <br />TRANSFER OF PERMIT AND <br />APPLICATION FORM <br />OF OPERATORS <br />DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />Ruy Romer <br />Governor <br />Tames 5. Lochhearl <br />Executive DirecYw <br />Michael B. Long <br />Division Director <br />The applicffiion for a Trartsfer of Pemlit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Wartanty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Warrartty 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#:H-/978- a Confidental?: ~! <br />Class: wr6ia,~- Type-Seq.:S~-t <br />From: ~r i.c~es~ „~ To: ~n'[G-s <br />Doc. Name: D Ylob~le ~r~Ml>< :C.~ o fa+cz(r2~E <br />I. FINANCIAL WARRANTY INFORMATIOtt Doc. Date (if no date stamp): 7/c23/oa- ~ <br />1. Opdom A: <br />(Initial & Date) <br />i. omenn B: ~ 5 6v <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 />W aranty requirements. <br />I DO NOT WISH TO WAVE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial Warranty for the same <br />dollaz 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 />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, I agree to be responsible for posting any <br />required increase to the financial warranty for good puse shown, in a <br />form acceptable to the Boazd, within 60-days of such notice. <br />NCV = N 0 (~~ <br />RECE110ED <br />JUL 2 3 1002 <br />Division of Minerals and Geology <br />~~ = 21 X5103 <br />