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<br />STATE OF COLORADO <br />DIVISION OF ,ti11NERALS AND GEOLOGY <br />Department or Natural Resources RECEIIlE® <br />1317 Sherman SL, Room ?1 i ~"°~`` ~ ~~~ ~ <br />Denver, Colorado 80?Ol - ~~~~~ D t v i s i o N t <br />Phoney 1303) 866-3i6i JAN 0 9 2C:3 DEC • p ~f M I N E RA I <br />FA;C~. (3031 83'--8106 I .J [~ bc- <br />Givision of Minerals and Geology 1!lvisiono/ G E O L O G <br />Minerals and 0. E C L A M A T I C <br />Geology MINING•SAFe~ <br />TRANSFER OF PE&tiIIT ?uYD SUCCESSION OF OPERATORS Bill Owens <br />APPLICATION FORM Governor <br />Greg E. Walther <br />6ecueive Director <br />Michael 8. tong <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: I) an Application <br />Fonn; 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 />I. FINANCIAL, WARRRANTy INFORMATK <br />Permit #: - O-r`~ Confidental?: ~1 __ <br />Class: d'esibw Type-Seq.: SD- c2 <br />From: 1"la.~ne Sndus-~'ries To: l7Yrotb <br />Doc. Name SD Aov Rsl~ V Movrti^ Hoyra~~id. <br />Doc. Date (if nomstamp): I ( (03 <br />12ecelPl- QUO-7 ~/a.S,Do <br />1. tion A: /Jn"~ ~/ 7~y I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date) the Division of Minera]s and Geology to recalculate the Financial <br />Warranty requirements. ffyou choose Option A you should not 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: I DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />(Initial & 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 dte date <br />that the transfer is completed and the required FINANCIAL <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 fmarcial wartantu for good cause shown, in a <br />form acceptable to the Eoard, within 60-days of such notice. <br />