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STATE OF COLOMDO <br /> MINERALS GEOLOGY CEIVEQ <br /> Department or Natural Resources ME <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 5L1 1 j 1999 <br /> Phone:(303)866-7567 <br /> FAX:1303)832-8106 01 Minerals✓i Ge0109Y <br /> • DEPARTMENT OF <br /> NATURAL <br /> TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br /> RESOURCES <br /> Roy Romer <br /> APPLICATION FORM Governor <br /> James S.Lochhea8 <br /> Executive Director <br /> Michael B.Long <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 Perfomlance 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 WARRANTY INFORMATION(Choose ONE Option): <br /> 1.Option A: I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br /> (Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br /> Warranty requirements. <br /> 2. Option B: �• I 1 I DO NOT WISH TO WAIVE 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 the 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, 1 agree to be responsible for posting any <br /> required increase to the financial warranty for good cause shown, in a <br /> form acceptable to the Board,within 60-days of such notice. <br /> ,4F (ol l[a �89 <br /> Aiov - I(3"'-0— <br />