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STATE OF COLOIZAD <br />DIVISION OF MINERALS AND GEOLOGY ~`irEl!/E® <br />Ueparlment of Natural Resources <br />1313 Sherman St., Room 215 APR 0 5 2002 <br />Denver, Goloradu 80203 <br />Phone: 13031 866-3567 Division of Minerals and Geology <br />FAX: 13031 832-8106 <br />DEPARTMENT OF <br />~~NATURAL <br />~ RESOURCES <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS„3 <br />Roy Romer <br />APPLICATION FORM Q governor <br />e~ i]~Iames S. Lochhead <br />\O Executive Director <br />V ~ ~Q\ Michael 8. Long <br />Vl.~~ Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four )major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Perfomlaltce Warranty (attached as part of the App ' tion Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financi Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, pl a provide the information in the format <br />and order described below. <br />FINANCIAL WARRANTY INFORMATION <br />1. Oetioa A: <br />(Initial & Date) <br />I wish jb WAIVE MY RIGHT to a 30-day processing time to allow <br />the ~ivision of Minerals and Geology to recalcu]ate the Financial <br />requirements. <br />2. O,Ption B: 4/4/02 <br />(Initial & <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 />dollar 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 60-days from the date <br />that the transfer is completed and the required FINANC[AL <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 Board, within 60-days of such notice. <br />