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~_ '•; ~ - <br />• RECEIVEQ <br />MAY 7 9 1991 <br />TRANSFER OF PERMIT AND SUCCESSION CF OPERATORS Yao~ <br />APPLICATION FORM DivlSionothninera~sa.aov~~yy <br />The application for a Transfer of Permit and Succession of Operators must contain four <br />(4) mayor parts: 1) an Application Form; 2> an Application Fee; 3) a Performance <br />Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator; and, a> a replacement Financial Warranty provided <br />by the Successor Operator, bearing an original notarized signature. To expedite <br />processing, please provide the information in the format and order described below. <br />I. FINANCIAL WARRANTY ORMATION (ChGhoose ~IIE Option): <br />1. Option A; ~ //~ I wish to WAIVE MY RIGHT to a 30-day <br />(Initial & Date> processing time to allow the Division of <br />Minerals and Geology to recalculate the <br />- -- Financial Warranty requirements. <br />2. Option B: <br />(Initial & Date) <br />~o aka ~,~''a~'`~ <br />l~,~k~ <br />~J' <br />I DO NOT WiSH TO WAIVE MY RIGHT to a <br />30-day processing time. I hereby submit a <br />replacement Financial Warranty for the same <br />dollar amcunt as the Financial Warranty <br />maintained by the current operator. I <br />understand that the Division of Minerals and <br />Geology will recalculate the required <br />reclamation bond within fi0-days from the <br />decision date and the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at <br />that time. As the new operator, I agree to <br />be responsible for posting any required <br />increase to the financial warranty for good <br />cause Shown, in a form acceptable to the <br />Board, within 60-days of such notice. <br />~.F. (~- Ilo'g7 <br />nld /. N (~ <br />