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~~~ ~~~5/ <br />STATE OF COLORPOO <br />DIVISION OF R[CLAMATION, MINING AND SAFEfY <br />Department of Natural Resowces <br />1373 Sherman St., Room 215 ~ F.. ,~ , C O 1. O R A D O <br />Denver, Colorado 60203 Y~t ~~~ At~~' a p D 1 v f 5 f o N O F <br />M1orre:13031866-3w7 9 itECLAA4ATION <br />FrVL 13031832.8706 ~ MINING <br />D~` r ~~ 2006 SAFETY <br />~r(iyr1, ~~ ~flt~/ ~~.{~n~-. ,/ Division c: ,e:,?.1~3tion, <br />Mining a.1d Safety ein ors <br />TRANSFER OF PF,RhIIT AND SUCCESSION OF OPERATORS ~er~~ <br />Russell George <br />APPLICATION FORM ixeaRNe oireper <br />~{~ ( ~ Rnnald w. Cattary <br />Division Diriector <br />Naaral Resoumn 7nsstce <br />The application for a Transfer ofPermit and Succession ofOperators mast contain four {4) majorpam: 1) anApplication Form; 2) <br />an Application Fee; 3) a Perfomunce Warmnry (attached as part of the Application Package) bearing the original notarized <br />sig7talure of the Successor Opotator; and, 4) a replacement Fir7aneial Warranry provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the Worn>atioa in t-te forma[ artd orderdescribed below. <br />F[NANCLAL WARRANTY INFORMATION (Choose ONE On4on): <br />I.Onfion A: <br />(Wtial & Date) <br />1 wish to WAIVE MY RIGHT w a 30~day processing time to allow the <br />Division of Reclamntion, Muting attd Safety fo recalculate the Financial <br />2.Ontton B: Il'30.Ob <br />{Initial & Date) <br />Office of <br />Mined Land Reclamation <br />Wattanty requue~rtts. If you choose Option A you should not submit a <br />Financial Warrarny at7d Perfottnattce Warranty 7mti1 the Division ~tifies you <br />of the correct amount of your warranty requirentents.* <br />[ DO NOT WISH TO WAIVE MY RIGHT to a 3tkiay prucessing flax. [ <br />hereby submit a replacemear Financial Warranty for the same dollar amount <br />as the Financial Warranty maimauted by the cttrrerrt operator. 1 understaml <br />that the Division of Reclamation, Mining and Safety Witt recalculate the <br />required reclamation bond wilhut 60-clays from the date tlwt the transfer is <br />completed and the required FINANCIAL WARRANTY COULD BE <br />SUBSTANTIALLY INCREASED at that time. As the now operatoy I agree <br />to be responsible for posting any required increase to the financial warranty <br />for good cause shown, in a form accepmble to tbe Board, within 6011ays of <br />such notice. <br />O(fue of <br />Arrive and Inactive Mines , <br />