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- STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RE6+E~ V ED <br />peparlmenl of Natural Resources ~ C <br />1313 Sherman SL, Ronm 275 - ~ ~ - <br />penver. ColornAo 80203 _ CCp q O ~gOpq <br />Phone: 1303)866-3567 ~ fLD C G UL <br />FA%:1303) a32.8I06 <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM ~~ , ~ ~ <br />Roy Romer <br />Governor <br />Tames S. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Pemrit and Succession of Operators must contain fo (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Ap lication Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Finan ' 1 Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, p e provide the information in the format <br />and order described below. <br />I. FINANCIAL WARRANTY INFORMATION <br />1.0otion A: <br />(Initial & Date) <br />I wish toyWAIVE MY RIGHT to a 30-day processing time to allow <br />the ]~Ivision of Minerals and Geology to recalculate.the Financial <br />requirements, <br />2. Oration B: 1"` ~2 ~ <br />(Initial & <br />~OZ <br />I DO NOT WISH TO WAIVE 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 b0-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 />Np~l = ~yt~1~ <br />