2002-04-10_REVISION - M1986159 (2)

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~ 1a.5',ot9 +'` Rae..riri~7yl9 50-04 :,1 STATE OF COLORADO DIVISION OK MINERALS AND GEOLOGY F~E~EI'VE~ Et VED Ueµvtmenl of Natural Resources 1713 Sherman St., Room ? 1 S APR 0 5 2002 Denver, Colorado 80203 APR ~1'D' 200'1 Phnne: 13031 866-3567 - fAX: (}03j g;2-8106 giviaion of Miaeralsand lieololg~siom of Minerals and Geology TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM Roy Romer Governor Tames S. Lochhead Executive Director Michael B. Long Division Director The application for a Transfer of Pecnit and Sua:ession :~f Operators rr:ast contain fow (4) major parts: i) an Application Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format and order described below. Permit #: -_ - 5 Confidental~?: Class: t ~ Type-Seq.:~Q_Q~_ From: To: Doc. Na Sc I. FWANCIAL WARRANTY INFORMATION (~ Doc. Date (if no date stamp): o 1. lion A: (Initial & Date) I wish to W AIVE MY RIGHT to a 30-day processing time to allow the Division of Minerals and Geology [o recalculate the Financial Warranty requirements. 2. Option B: 4/4/02 (Initial & Date) I DO NOT WISH TO W~IV(~_>~' RIGHT to a 30-day processing time. I hereby submit a replacement Financial Warranty for fire same dollaz amount as the Financial Warranty maintained by the current operator. I understand that the Division of Minerals and Geology will recalculate the required reclamation bond within 60-days from the date that the transfer is completed and the required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY TNCREASED at that time. As the new operator, [agree to be responsible for posting any required increase to the financial warranty for good cause shown, in a form acceptable to the $oazd, within 60-days of such notice.