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<br /> <br />STATE OF COLOIZ~DO _ <br />DIVISION OF MINERALS AND GEOLOGY RECEIVED ~~ <br />Uepanmern ni Natural Resources <br />1113 Sherman St., Runm?1S <br />Denver, Coloradu AO?OJ DEC 10 2002 <br />Phone: 1303)A66-Sib7 ' <br />fAX: {3U3~ 031-A I n6 Division of Minerals and Geology <br />DEP.SRTMENT O'r <br />NATURAL <br />TRANSFER OF PERMIT ANA SUCCESSION OF OPERATORS RESOURCE <br />Ray Romer <br />APPLICATION FORM eavemor <br />lames 5. Lochhead <br />Executive Director <br />Michael B. long <br />Division DireIXar <br />The application for a Transfer of Pemtit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance 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 />Permit#:J'~/9R~-t9~~ Confidental?: A) <br />Class: FZ.otjrsftr~. Type-Seq.~p=3 <br />FrDm: irr n., M (7n TO: ~n't(~ <br />Doc. Name: >S~Y n-~>c E /~ ~o <br />T. FINANCIAL WARRANTY INFORMATION (~ Doc. Date {if no date stamp a p D~~stc~ <br />~12rs.~ ~~ 8453 <br />1. Orion A: I wish to WAIVE 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. OQ on B: ___~~~~v I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Inrt at & te) time. I hereby submit a replacement Financial Warranty for the same <br />dollaz 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 COU D 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 />No~f N6~~ <br />P~~. = 12~24~02 <br />