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STATF OF COt,OIZADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmem of Natural Resources <br />1111 Sherman 51., Room 215 <br />Denver, Cobrado 80201 <br />Phone: 17031 866-]567 <br />FAX: I30)i 872-8106 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />Ruy Romer <br />Co.errwr <br />lames 5. Eochhead <br />Ezttulive OireCtar <br />Michael B. Long <br />nivifiOn ~I(e[rOr <br />The application for a Transfer of Pemrit and Succession of Operators must contain four (4) major parts: I) an Application <br />Form; 21 an Application Fee; 3} a Performance Warranty (attached as part cf the Application Package} bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format <br />and order described below. <br />I. FINANCIAL R'ARRANTY INFORMATION (Choose ONE Option): <br />1.Option A: CJ~ ~ /2-! I wish to W AIVE 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 />2. Optiou B: 1 DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial & Date) time. [ hereby submit a replacement Financial Warranty for the same <br />dollar amount as the Financial Warranty maintained by [he current <br />operator. I understand that the Division of Minerals and Geology will <br />recrlculate 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 MCREASED 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 Board, within 60-days of such notice. <br />