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~o~' ~r~ZMSn} Pcwln~ ~ ~ed+ A~IIK Ina • ~- Sd 03 <br />STATE OF COLORADO <br />DIVISION OF MINERALS ANO GC4lOGY~ <br />DepaMRr+t of tJatunl Resources <br />t3t35hnman St., Room 2ts ~~~'~~~"-~~~ COLORADO <br />Dtlwer, Colorado 80203 <br />Plgnc t303) 861:3567 <br />SEP 2 6 2006 ~ D r Y t 5 f O N O F <br />MINE RA L S <br />FAX: (3031832S7o6 <br />Division or.~~:,iamation G E O L O G Y <br /> , <br />Mining and Safety sc~~„,,,,o„,„,„~„~ <br />sirs*••scir„« <br />TRANSFER OP PERMIT AND SIICCESSION OP OPERATORS eel ow.~ <br />cov«na <br />APPLICATION FORM `/ Rusdl ~ <br />Exetulive Dirttor <br />Ronai<I W, ribnY <br />DWision Dirccror <br />Neural Rewwce TruKee <br />Tbie jorm kas bcus appmNad 6y Fke Maud Lord Ra'lan+alavn Boa,+d parsasar to socbats 3¢31-717, CRS, ojffie Merced Lmad <br />RsdaarofionAdaad 3h31.i117, CRS, ojtks Coloradoland Rsdomal3asAdfor fksF.xdadian ojCoaabudisw Matmtalr. Arty <br />aAroaatwr ornro~ors ojrki+jonw, xti~otaappr»Fiat byrkeBosrdakaQraaErw doe fLrmrdot nmraarybmrgiarva&i'mad reaa8iie <br />rka ojaey pemdt ttsaed is coajmxaFoe widY srek urvaBd fa+maeial trnrraaty and sabfsd Ure opsrortor ro cease sad daiat <br />o~daa axd cigRpaaaerfv jor op~a~iL.g wrbleo+aapa~i'efwrsnant ro.em-mros 34-3a1z3, cx.S, ojbtisefbrsd LaadRodmaodraaad <br />owd34d1.S-713. CR.S., ojtlu Cokrado Laed RedmFwmtaw Actjor tl+s E>~2radion ofCmubrrcdon Malolafs. <br />The application for a Tranafe of Permit and Succession of 17pe78taa moat oaltam fern (4) major parts: I) en Application Fan; 2) en <br />Application Fee; 3) a Performance Warranty (attached as part of the Application Package) beating the original notati2sed signetme of the <br />Successor Operates: end.4) arepleoent~t Finmcial Warrmty provided by the Successor Operator, bearing an angioel naaritedae. <br />To expedite prnceasing, please provide the mfoamatiat in the format and order described below. <br />1.~ <br />(Initial & Date) <br />I wish m WAIVE MY RIt}HT m a 3U.day processing tune m allow the <br />Divisive of Mtnasls and Geology m recalculate the Finanaal Warrmtty <br />requirements. Ifyau choose Opticm Ayou should goj submit a Financial WartaDty <br />end PerfamaDce Warranty until the Division Dotifies you of the mrtect amount of <br />G~~/ x.04 <br />2. (fig! ,~: <br />{hnhal 8c Date) <br />your warranty requirements.' <br />I L~ NOT WISH TO WAIVE MY RIGHT to s 30-day processing time. I <br />hereby submit a replaDeDteot Finmcial Watramy for the same doper amount as the <br />Financial Wmranty maintained by the current operator. I u~atd that the <br />Division of Mmaels and Goology will recalculate the required reclamation bond <br />within 60-days frDm the date that the transfer is txtmpleted and the required <br />FINA_~et WAAReNTY COLtr~r BF gtIASTANTIer t Y IN FA EU at <br />that time As the neav opetata, I agree to be responsuble for posrin6 ~Y re9uu~ <br />iuxxease m thefmancial warranty for good cause shown, in a form acceptable to the <br />Board, within 60-days of such entice. <br />Cdfice of CNBce of Colorado <br />Mined Wnd Reclamazion Active and IruKtive Mines G¢obgiral Survey <br />