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(Yl$(P6(~I ~ ~orln' DIdCGt.ail-~ S~n76iro~p Ir>~ Gba(ocu Gainers i~'1a~er:alS ~ <br />~° ~ ~ `~ STATE OE COLORADO <br />DIVISION OF A•iiNERALS AND GEOLOGY ~~~~~ ~~ <br />Department of Natural Resources ~ 1L; <br />1313 Sherman St., Room 215 C O L O RA B O <br />Denver, Colorado 80203 FEB 13 2004 .~ DIVISION O F <br />Phone: (303) 866-3567 MINERAL S <br />FAX: (303) 832-8106 nl'dsion of Aninerals and Geology G E O L O G Y <br />REC EAM ATION•MINING <br />SAf ETY•SCIENCE <br />TRANSFER OF PERMTT AND SUCCESSION OF OPERATORS aill ovens <br />APYLICATiON FORM cavemor <br />Greg E. Walther <br />~ Executive Director <br />Ronald W. Cottony <br />Division Director <br />Natural Resource Trustee <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) an <br />Application Fee; 3) a Performance Warranty (attached as part ofthe Application Package) bearing the original notarized signature ofthe <br />Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized <br />signature. To expedite processing, please provide the information in the format and order described below. <br />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. Option A; ZB~//2R~ I wish to WAIVE MY RIGHT to a 30day processing tithe to allow Ule <br />(Initial & Date) Division of Minerals and Geology to recalculate the Financial Warranty <br />requirements. If you choose Option A you should not submit a Financial, <br />Warranty and Performance Warranty until the Division notifies you of the <br />correE/t amount ofyour warranty requirements.* <br />2, Option B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />(Tnitial & Date) hereby submit a replacement Financial Warranty for the same dollar amount as <br />the Financial Warranty maintained by the current operator. Itmde<stand thatthe <br />Division of Minerals and Geology will recalculate the required reclamation <br />bond within 60-days from the date that the transfer is completed and the <br />required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY <br />INCREASID at that time. As the new operator, I agree to be responsible for <br />posting a~ required increase to the financial warranty for good cause shown, in <br />a form acceptable to the Board, within 60-days of such notice. <br />Nod ~ Norv~ <br />Cdfice of <br />Mined Land Reclamation <br />Office of <br />Active and Inactive Mines <br /> <br />Geological Survey <br />