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STATE OF <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />d"a ` <br />~t ~" t~ ~ <br />~ <br />1313 Sherman St, Room 215 ~ <br />~ -" <br />` <br />Denver, Colorado 80203 <br /> <br />Phone: (303) 866-3567 CC!!~~ ry a <br />®Lt, 2 J ZL04 <br />FAX: (303) 832$106 <br /> <br />TRANSFER OF PERMIT AND SIICCESSION OF <br />APPLICATION FOBM <br />C~•OLORADO <br />I V t 5[ O N O F <br />MINESRALS <br />GEOLOGY <br />RECIANATIO N•MINING <br />EAPETY•SCIENCE <br />Bill Owens <br />Governor <br />Russell George <br />Executive Director <br />Ronald W. Caaany <br />Division Director <br />Natual Resource Ttustee <br />The application for a Transfer ofPetmit and Successitn <br />Application Fee; 3) aPerfotmattce Watranty (attached <br />Successor Operator, and, 4) a teplacemeut Financial <br />sigllatttre. To expedite processing, please provide the <br />(4) major parts: 1) <br />an <br />ovided by Successor Operator, bearing an original notatized <br />in the f t and order described below. <br />I. FINANCIAL WARRANTY INFORMATION <br />~O n A: I wi to WAIVE MY RIGHT to a 30daay processing time to allow the <br />(Initial,&Date) ' 'on of Minerals and Geology to recalculate the Financial Warranty <br />requirements. If you cfiaose Option A you should not subtt3it a Fittanciat . <br />War;atriy and Perfotmance Warrany utttil the Division notifies you of the <br />correct amount of your warranty requiremetlts'a <br />2.Ontion B: "U 7 I DO NOT WISH TO WAIVE MY RIGHT to a 30~ay processing time. I <br />(Initial Ac ate) hereby submit a replacementFinancial Watrantyfar rite same doAar amotmt as <br />theFittancial Watratllymainfainedbgthet:urrentogerator. iunderstandthatthe <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 anyregltired increase to the financial wemanty for good cause shown, in <br />a form acceptable to the Board, within 60-days of such notice. <br />il/D ~/ = Nc7 Nor <br />~ait~ t c~s~ZZ,/2oos <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geolozical Survey <br />