2007-05-19_REVISION - M1980189

• Permit No: M1980189
• IBM Index Class Name: Revision
• Doc Date: 5/19/2007
• Doc Name: Transfer of Permit and Succession of Operators Application Form
• From: Rocky Mountain Materials and Asphalt, Inc.
• To: DRMS
• Type & Sequence: SO1
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone] rT^~®A~~
FAX: [phone] ~~ ~~~'"~ ~ 20U1 ~
., ~;~'.°'°^ ^"`•,-~~ COLORADO
' DIVISION O f
,~ ^ MIN SRALS
I~~ •O•I%iu] GEOLOGY
REC LA NATION•NINING
D'.^~_:D., l I'i .. ~, iJl, EAffTY•ECIENCF
ON~lOij Ott ~~ ~ ~ ,~ (•/wlln~iliw rualJry~ ~~~~~ Bill Owens
mntn9 Governor
SI~ER OF PERMIT AND SUCCESSION OF OPERATORS
APPLICATION FORM L/ Russell George
Ezecutive DIlQCIOr
[r I ~ Ronald W. Cottony
/ `~~~/Ig lv D ,I ~JIA~ Division Director
`I `!_Al ~O~f~ MD~C/1, w.~wf /_ Natural Resource Trustee
The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Fomt; 2)
an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized
signature of the Successor Operator; and, 4) a replacement Financial Wartanty provided by the Successor Operator, bearing an
original notarized signature. To expedite processing, please provide the information in the format and order described below.
FINANCIAL WARRANTY INFORMATION (Choose ONE Option):
1. ODtion A: -tF~ I wish to WAIVE MY RIGHT to a 30-day processing time to allow the
(Liltial & Date) Division of Minerals and Geology to recalculate the Financial Wartanty
requirements. If you choose Option A you should not submit a Financial
Warranty and Performance Warranty until the Division notifies you of the
correct amount of your warranty requirements."
2.Ootion B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I
(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount
as the Financial Wartanty maintained by the curtent operator. I understand
ihaf the Division of Minerals and Geology will recalculate the required
reclamation bond within 60-days from the date that the transfer is completed
and the required FINANCIAL WARRANTY COULD BE
SUBSTANTIALLY INCREASED at that time. As the new operator, I agree
to be responsible for posting any required increase [o the financial warranty
For good cause shown, in a form acceptable to the Board, within 60.days of
such notice.
~~>I = ~~
~' lD/~3 2007
Office of Office of Colorado
Mined Land Reclamation Active and Inactive Mines Geological Survey