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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />TRANSFER OF PERMTl' AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />COLORADO <br />DIVISION O F <br />MIN&RALS <br />GEOLOGY <br />SAFEt Y•SU ENCE <br />Bill Owens <br />Govemor <br />Russell George <br />Executive Director <br />Ronald W. Cottony <br />Division Director <br />Natural Resource Truriee <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: i) an Application Form; 2) an <br />Application Fee; 3) a Perforlnancc Warranty (attached as part ofthe Application Package) bearing the oliginalnotazizcd signaauc ofthe <br />Successor Operator; and, 4) a replacement Financial Warramy provided by the Successor Operator, bearing an original notarized <br />signeuue. To expedite processing, please provide the information in the format and order described below. <br />FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1.0 n I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <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 />correct amount of your warranty requirements.' <br />2.0 'on B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />(Initial & Date) hereby submit a replacement Financial Warr~ty for the same dollar amolmt as <br />the Financial Warranty maintained by the clnrent operator. I understaadthatthe <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 />INCREASED at that time. As the new operator, I agree to be responsible for <br />posting any 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 />Office of <br />Mined Land Reclamation <br />Office of <br />Active and Inattive Mines <br />Colorado <br />Geological Survey <br />