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,V_. ~ ' <br />STATE OF COLOIZADC <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />} } } }Sherman 57.. Room 27 5 <br />Denier, Colorado 80203 <br />Phone: 1303)866-3567 <br />FAX: (303)83?-8106 <br />RECEI~/ED <br />~~ <br />APR t ~ 20U2 <br />Division of Minerals and <br />DIVISION C <br />MINERAL <br />GEOLOG <br />0. Et LAMATIC~ <br />MIN ING•$AFET <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS soi ovens <br />APPLICATION FORM governor <br />Greg E. watcher <br />Execmive Director <br />Michael 8. Long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signature of the 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 information in the format <br />and order described below. <br />I. FINANCIAL WARRANTY INFORMATT <br />Permit #: - Contidental?: ~- <br />Class: Iior• Type-Seq.:Sn-Oa <br />1=rom: e m c. To: `DYYIG> <br />Doc. Name: 5 o narn Tnc. o Du ec ~~o <br />Doc. Date (if no date stamp):y ~o eim Tnc. <br />I. Option A: W~'~ I I na" I wish to WANE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. Ifyou choose Option A you should not submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />2. Qption B: I DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />" (Initial & Date) time. I hereby submit a replacement Financial Warranty for the same <br />- dollaz amount as the Financial Warranty maintained by the curzent <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 fmarcial warranty for good cause shown, in a <br />form acceptable to the Eoazd, within 60-days of such notice. <br />