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• ~ 1 <br />RECEIVED <br />,~f~1~~-223 ~`- <br />SEP 2 7 2007 / <br />PtyjgMp of Reclamation ~- STATE OF COLOIZ~DO <br />DIVISION OF RKIAMATION, MIMIRI~1~Dt <br />OepaM1~neht of N.ttural Resaprcec RECEIVEp <br />13115twmwn SL, Ropm ? t S <br />DetnYr. ~nfnradn eozn3 c5~-pl SEP 0 4 2001 C O L O R g D 0 <br />p I v 15 1 J ~ O F <br />Phone.. i3(13~ 8663>67 ~IYI$IOft Ut K ~ M N 1 NG fV <br />F~x~ '}03; a3--6t06 eclamation <br />MIRIR9 arld Sat@~t ' SA ETY <br />8i11 Cheese <br />'1'RA!VSFF,R OF PERMIT AVD SUCCESSION OF OPERATORS' Gnrrrnr <br />Rua,~il G„...iv <br />APPLICATTON FORM _ - / tip Exeuu.r plc cor <br />~j/}~~ ~~ /1„ II'p 19/771~~ fjL{.~Ronala W. C::na~w, <br />~~`^ (~,''fffJ LL II! V lNVl1 "6~4 pinyon Oinvaa <br />/~ ° y} ~ Nam~al Rrx,mci~ Tmvce <br />The application for a Transfer o~f Pt `rnnit~an~d Succession ofOpetatom most contain four (4) major parU: I) ao Applicaifon Forst: 2) <br />an Application Fer, 3) a Performance Warranty !attached as part of the Application Package) bearng the original notarized <br />sigrraturc of the Sncecssnr Opemtnr; and, 4) a replacement Financial Warranty provided by the Sttecessor Operamr, bearing an <br />original tuNarized signature. To expedite processing, please provittc the information in the format and urtkr described Ixlow. <br />FI*iAVCIAL WARRANTY LVFORMATION (Choose OnE (Action): <br />1. Ootton A: __ <br />Qnitval ~ D•ute) <br />2. tin B:x.. -1 8/1~~~ <br />Ilnitial & Date) <br />Vftxe of <br />Mint«I land Rrsaamalivn <br />1 wish to WAI VE AtY RIGHT to a 30-day processing time to allow the <br />Division of Rcclamntioq Muting and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial W aranty and Pttformance Warranty until the Division notifies you <br />of the correct amount of your warranty requireirtcrtts! <br />I DO NOT WISH'f0 WAIVE MY RIGHT to a 30-day processing time. 1 <br />hereby submit a replacement Financial W arranty for the same dollar amount <br />as the Financial W atranty mainlniMd by the current operator. 1 understand <br />that the Division of Reclamation, Mining and Safety will recalculate the <br />required reclarnaticm txmd within fi0-days from Fhr date [hat [he transfer i< <br />completed and the regoired FI~AtiCiAI. WARRANTY fOUI,D _RF. <br />SUI3STANTL\LCY 1tiCREASLD at that time. As the nett operatne I agree <br />to hr responsible 6n posting any required inCTrase to the financial warranty' <br />for gnrxl cauxe shown. in a Cumt arcrpmblc to the Roard, within GU-days of <br />such notice. ' ^ ~ ~~ <br />ND V ~ /l~©n ~ (J <br />~~ ~'2~7~ano~ <br />.' an¢v or l- <br />AfnVPand In Xtim- MMr. <br />