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' ~~ . Cb`n+i rTec~+a-~ lrvx-I-e-t~ i a-~ S Co t p / <br />~-) <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1317 Sherman St., Room 215 <br />Denver, Colorado 80203 ~ - ~~C <br />Phone: (303) 866-3567 j V~® <br />FA%:13031 832-8106 - <br />MAY ~ ¢ 2003 .~ <br />Division of <br />Mine <br />TRANSFER OF PERYIIT AND SUCCESSION OF OIi~ <br />9Y <br />APPLICATION FORM / <br /> <br />DIVISION <br />MINERA <br />&-- <br />GEOLOC <br />AE~CiAMATI <br />MINING•SAfi <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive Dire<;or <br />Michael B. Long <br />Oivislon Dlreaor <br />The agplication for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Perfomrance Warranty (attached as part of 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. FINANCI T WARRANTY INFORMATION (~h~se ONE Option): <br />1. do I wish to WANE 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 rcquirements. If you choose Option A you should 4 submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />2. n B: ~~\~~rN~ -off o2jI DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />(Inv Date) 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 FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREAScD 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 Poard, within 60-days of such notice. <br />~IOV= KW 1~16`l ~l5 <br />M~ l go~1o <br />~F - 5f z~ oa <br />