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STATE OF COLORADO <br />DIVISION Of MINERALS AND GFOLOGY <br />Department of Natural Resources <br />1113 Sherman St., Ronm 21> <br />Denver. Colorado 80203 <br />Phone: 1303) 866-3567 <br />PAX: (3031832-B I06 <br />RECEIVED <br />FEB 2 0 20Q2 <br />Division of Minerals and <br />TRANSFER OF PERMIT AND SUCCESSION OF <br />APPLICATION FORM <br />DEPART1vIEIVT Of <br />NATURAL <br />RESOURCE <br />RoY Romer ' <br />p_ Governor <br />J James 5. LachheaA - <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain f (4) major parts: 1) an Application <br />Form; 2) an Application Fee;'3) a Performance W arranty (attached as part of the A lication Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Finan al Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, pJ a provide the information in the format <br />and order described below. ~ <br />1.' FINANCIAL WARRANTY INFORMATION <br />1. Option A: <br />(Initial & Date) <br />I wish to YVAIVE MY RIGHT to a 30-day processing time to allow <br />the Diylsion of Minerals and Geology to recalculate the Finahcial <br />requirements. <br />M ~~ ~ ~ <br />2. option B: <br />(Initial & Date) <br />~O Z <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial W aranty for the same <br />dollar amount as the Financial Waranty maintained by the curent <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 financial warranty for good cause shown, in a <br />form acceptable to the Boazd, within 60-days of such notice. <br />~r~. •= ~ IZ~1o3 <br />