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:, <br />,~ <br />.. ~- <br />/ r~pla~ ~ I ~3~0~ <br />STATE OE COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Uepartmem of Natural Resources <br />1313 Sherman 51., Room 21 S <br />Denver, Colorado 80203 <br />Phone: (303) 866-3167 <br />FAX: U03i 832-ri 106 <br />~~CIGI V E~ <br />DEC 0 5 2003 <br />Division of Minerals and <br />TRANSFER OF PERMIT AND SUCCESSION OF <br />APPLICATION FORM <br />7~C~~~ <br />DEC 0 51~ATURAI <br />mofMineralsa,~Sr OURCE~ <br />Ruy Romer <br />Governor <br />lames 5. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators <br />Fomr; 2) an Application Fee; 3) a Performance Wartanty (attached as <br />notarized signature of the Successor Operator, and, 4) a repla <br />Operator, bearing an original notarized signature. To expedite rc <br />and order described below. r- <br />t contain four (4) major parts: 1) an Application <br />of the Application Package) bearing the original <br />Financial Warranty provided by the Successor <br />ing, please provide the information in the format <br />Permit #: Ii-1980-135 Confidental?: N <br />Class: Revision Type-Seq.: SO-2 <br />From: plnOPO F dln s 7~CCTO: DNG <br />Doc. Name: sn LTn crn.~,. rio,.,..., r„ n.....e,. <br />I. <br />Doc. Date (if no date stamp) <br />1. Option A: 1 r /i 8 /nz I wish to WAIVE 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. <br />i <br />i <br />2. Option B: ~ I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Ini I & Date) time. I hereby submit a replacement Financial Warranty for the same <br />dollar amount as the Financial Warranty maintained by the current <br />` / operator. 1 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 cause shown, in a <br />form acceptable to the Boazd, within 60-days of such notice. <br />NoV=t~oN~ <br />~rF =l01~~04 <br />