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STATE OF COLORADO <br />DIVISION OF REftAMAT10N, MINING AND SAFETY(~~ <br />Department of Natural Resources <br />1313 Sherman 5t., Room 275 ~ <br />/ `~ RECE~ <br />K ~~D <br />Denver, Colorado 80203 <br />Phone: {303) 8663567 ~ <br />c <br />TV/ (l V 21// <br />~ <br />tid~ fir <br />SEP Q 8 ZOOS <br />FAX: 13031832-8706 ~ <br />~ <br />6 <br />~( ~ 0b <br />OV` <br />~ i~ <br />Division of Re <br />l <br /> <br />~DIO I L/ o ~ <br />O~~ ~( a~5a c <br />amation, <br />Mining and Safety <br /> <br />CJ~ <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />~~~. ~~~ <br />APPLICATION FOR13 <br />-~ .~~- <br />V <br />~1 i iYID ~ / g~ 2t7C-( v <br />i~ <br />COLORADO <br />D!VlStON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Owens <br />Governor <br />Russell George <br />Execudre Direnor <br />Ronald W. Cattany <br />Division Dvecror <br />Natural Resourrn Trustee <br />The application for aTransfer of Pemrit and Succession ofOperalors most contain four (4) majorparts: 1) an Application Form; 2) <br />an Application Fee; 3) a Perforirtattce Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Qperator, and, 4) a replacement Financial Wartanry provided by the Successor Operator, bearing an <br />original notazized signature. To expedite processing, please provide rite information in the fomlai and order described below. <br />L FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. O ton A: I wish to W AIV E MY RIGHT to a 30-0ay processing time to altow the <br />(Initial & Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should ~ submit a <br />Financial Warranty artd Performance Warranty until the Division notifies you <br />of the correct attwunt of your ivartnnty regteretnents. <br />r~ ~,0~ <br />2, Oofion B: 'u' ~ [ DO NOT WISH'f0 WAIVE MY RIGHT to a 30-day processing time. i <br />(Initial & Date) hereby submit a replacement Finatcial Warranty for the same dollaz amount <br />as the Financial Warranty maintained by the current operator. I understand <br />that the Division of Reclatnarion, Mining and Safety will recalculaW the <br />required reclamation bond within 60-0ays from the date that the transfer is <br />completed and the required FINANCIAL WARRANTY COULD_BE <br />SUASTANTIALLY INCREASED at that time. As the new operator, I agree <br />to be responsible far posting any required increase to the financial warranty <br />for good cause shown, in a form acceptable to the Roard, within 60-days of <br />such notice. <br />Office of <br />Mined Land Reclamation <br />NOV: NONE <br />Annual Fee: 07/25/06 CW <br />Office of <br />Active and Inactive Mines <br />