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~~Ip~~ <br />So- i ~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY ..i <br />Department of Natural Resources <br />7313 Sherman St., Room 275 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />RECEIVED <br />4Fp p y 2004 ,~ <br />06i"°~' u' 7Winerala an/ GealoBY <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM ~ <br />COLORADO <br />DIVISION OF <br />MINERALS <br />GEOLOGY <br />0.E CLANATION•NINING <br />SAFETY•SCIENCE <br />Bill Owens <br />Governor <br />Russell Geolge <br />Executive Director <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />The application far a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) en <br />Application Fee; 3) a Perfarmaace Warranty (attached as part of the Application Package) bearing the original notarizxdsigoanae ofthe <br />Successor Operator, and, 4) a replacement Financial Warra~y provided by the Successor Operator, bearing as original notarized <br />signature. To expedite processing, please provide the information in the format and order described below. <br />FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1.Outlon A: N/A I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />(Initial Fc Date) Division of Minerals and Geology to recalculate the Financial Warranty <br />requirements. L`. you choose Option A you should not submit a Financial <br />Warranty and Performance Warranty until the Division notifies you of the <br />correct amount of your warraaty tegt7irements.'~ <br />2.Ootam B: N /A I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount as <br />the Financial Warranty mainia:aed by the current opera~or. I understand thatthe <br />Division of Minerals and Geology will recalculate the required reclamation <br />bond within 60-days from the date that the transfer is completed and the <br />required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY <br />INCREASED at that time. As the new operator, I agree to be responsible for <br />Pig ~Y required increase to the financial warranty for good cause shown, in <br />a farm acceptable to the Board, within 60-days of such notice. <br />Nov= NorvF <br />I~~- 4~io106 <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />