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Li~ <br />• ~ STATE OF COLORADO <br />DtViStON OF rttiNERAtS AND GEOLOGY ~/ <br />,3,3shaman~ Win, ~~ / REC~lat~~3 <br />COLORADO <br />p~p3 DIVISION OF <br />FnenG (303) ~~~ ~ • JUN 19 2DA6 ~/ M I N ~RR L S <br />FAX: {303) 8338106 G E 0 O G Y <br />/ `/~ Division of Minerals and Gaolopl ~~iA rTT•rc eN~ctNa <br />TRANSFER OF PERMIT AND SIICCE9310N OF OPERATORSL/ e <br />AFPIdCATION FORM auNetl ce«~ <br />fxaaetve DAenor <br />>~~~ : SGt ko ,~XCc(.rJcc_~~~'1 LLC Li~ <br />Names ResaMCe rnstee <br />TBis jwwr Irw berg oppmvad by /be bf/rM L/nd R/CLrrAOapoA /J/ard jArnrrmd to SlCAaK 3432-177, CR. C, /ftlit wed leAd <br />Rs~fmweliwPAdmrd3~d,42.~JJJ, CRS, /Jdrscador/doLeAd~aefer~Finae~awofcawmv~Oi,dtea9ssJ/A.,lAy <br />aJieoatl/AOrAm~bA ojdrra jorAr, wadYor~a~er>wnlbyFbtEomda/i/urrnrbriA tke~ci/r«,araAlybe~ogbraaSdmrdnmedtL7 <br />~ /f aAyFenrJt feared w aoy~iArdiar ~r eAek hrvirlld farmeamt wmnaAy /nar/a, jret d. a ro caare a/a af~i <br />ewlna/Ad csvilpm/EpFeaf/ropar~ng>tdtlMrd/ pe-eelt/w-sttmd6v ind+lo/s3~432-723r CRS, ofL1eMmtAL/AdRaclm~cuai/AAd <br />surd 94.12.5-723, CRS, ytum c/%r/do LaAeRetow aefor rtie EaYrar.SoA efcoutrvcd/Aafdevi/v. <br />The application fa[ a Transfer of Paffit and 3uooesai~ of Opamors must cantaiD fwr (4) major parts: 1) an Application Farm; 2) an <br />A,ppliceticn Fee; 3) a Petformaace Warranty (attached as pact of the Application Package) bearurg the caigcml notarised aigttaua+e of the <br />Stt Opaatar; and, 4) a replaoemeat Financial Warr~ty provided by the SuOpeator, bearingan arigatel no~n~od ssgaebae. <br />To Ggtedite processing, please provide the iDfmmaticD in the format and aadra dexafbed bckw. <br />L IINANCW. W~~P ~' INFORMATLON fChoDae ONE t~Dtioal: <br />1. I wish to WAIVE MYRICrEff to s 3t7-day precasting time to allow the <br />(Initial & Date) Diviai~ of Mncrals sad (korogy to racakulate the Finanrasl Warranty <br />regr»raffitts IfyouclwoseOpticnAyonshouldggsubmitaFiaeacielWatrmry <br />and Petfamaoce Wazranty uDtil the Diviaam notiSes you of the cortetK armtmt ~' <br />y~ p'~ty <br />2. : ~~(o I r-~ ° ~I DO ArOT WrsH TO WAIVE MY RIGHT to a 30•day pmcessing time. I <br />{InitSelADate) hsebysubmitat~rlaoan,mtFiamasielWarreatyforthesamedollaramwmtasthe <br />Finaneial Warranty mauttaitwd by the current opeiatar. I' moder~nd that the <br />Division of Minerals and Geology will recalculate the regr$red reclamation bond <br />within 60-days Snm the date that the tra~br is completed end the required <br />FLNA_Nr'LAt WAR~"~TYS:.O R. Pct ST' TrTIAt.[ Y 1N uRA~EQ et <br />thu time: As the xw aperetar, I agree m be reblefnr posting say required <br />increase mthefwaflciai warranty fix good cause shown, to a form acceptable turbo <br />9oerd, within 60-days of such m2ix. <br />08ice d OHfoe of Cdorado <br />Atoned IarM Reclanaaiwr ActAre and Inactive Mmes Geobgiral survey <br />