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S~ , ~ ~ <br />', -.. <br />DIVISION OF MINERALS ANC GEOLOGY <br />Departrnent of Natural Resources <br />1313 Sherman 8t., Raom 215 <br />Denver, Colorado 80203 <br />Phone: (307) 8663567 <br />FAX; (3031 832-8106 <br />~~ ~ LConZ ~~ ~ ~ ,~u'~ -(%/ <br />~q4L~~ ~ <br />STATE OF COLORADO <br />REC~IVE® <br /> COLORADO <br /> <br />OCT 1 3 ~ D I Y t r t O N O F <br />MINERALS <br /> <br />~ivisionofMineralsandGevlogy GEOLOGY <br />0.ECLANATION•NINING <br />SA El TY•SCIEN<E <br /> <br />Bill Owens <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS cavemor <br />APPLICATION FORM c./ Russell George <br />Executive Direuor <br />Ronald W. Gaany <br />Division Director <br />' Natural Resource Trustee <br />The application for a Transfer ofPeralit and Succession ofOperators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fa; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Opetaror; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />.' original notarized signatlae. To expedite processing, please providerthe infomlation in the format and order described below. <br />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. Option A: I wish ro 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 Opton A you should not submit a Financial <br />Warranty and Performance Warranty until the Division notifies,you of the <br />correct amowt:ot' yotu warranty requiremenrs.• <br />2.Ontion B: ~ I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount <br />es the Financial Warranty tmintained by the current operator. I understand <br />that the Division of Minerals and Geology will recalculate the required <br />reclamation bond within 60-days from the date that the transfer is cortglleted <br />and the requued FINANCIAL WARRANTY COULD BE <br />SUBSTANTIALLY INCREASED at that tithe. As the new operator, I agree <br />to be responsible for posting any requued increase to the financial warranty <br />for good cause showq in a form acceptable to the Boazd, within 60-days of <br />such notice. <br />NO V - NDN~ <br />g~ /t4+-t~ - o ~ ~i i ~~ oos <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geologirzl Survey <br />