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,Pecep#&rQb ~i as =' <br />STATE OF COLORADCU <br />DiVI510N OF MlNERAIS AND GEOLOGY <br />Department or Natural Resources _ <br /> RECEfVED <br />7313 Sherman St., Room 273 <br />Denver, Colorado 80203 <br />~ D 7 v 7 5 1 o N <br />Phone: 1303) 866-3567 , A~ 1 5 ~ M I iy E RA I <br />FAX: (3031 832-8106 ~- <br />~ <br /> GEOLOG <br />- <br /> Diviaian oFBtinarals and Geology R E~C L A M A T I C <br /> MIN7NG•SA F£' <br />TRANSFER OF PERMIT AND SUCCESSION OF OPE ORS gilt ovens <br /> APPLICATION FORM Governor <br /> Creg E. Walther <br /> Executive Director <br /> Michael B. Long <br /> Division Diroctw <br />The application for a Transfer of Permit and Succession of Operators must c rain four (4) major parts: 1) an Application <br />Form; 2) an Application Fce; 3) a Performance Warranty (attached as part the Application Package) bearing the original <br />notarized signature of the Successor Operator; and, 4) a teplacem Financial Warranty provided by the Successor <br />Operator, bearing an original notarized sigtat»re. To expedite pr sing, please provide the information in the format <br />and order described below. <br />From: <br />Doc. Name: <br />Doc. Date (if no date <br />1.Ontion A: I [o WAIVE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date) a Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. ffyou choose Option A you should ~ submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of yew warranty requirements.' <br />2. n B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial Date) time. I hereby submit a replacement Financial Warranty for the same <br />- dollar amount as the Financial Warranty maintained by the current <br />operator. I understand that the Division of Minerals and Geology will <br />recalculate the required reclamation bond within 60-days from the date <br />that the transfer is completed and the required FINANCIAL <br />WA_Rrt ANTy COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator. I agree to be responsible for posting any <br />required increase to the fmarcia] warranty for good cause shown, in a <br />form acceptable to the Eoard, within b0-days of such notice. <br />Nov~NcN~; <br />. ~ =414103 <br />Confidental?: j~_ <br />Type-Seq.:.so -a <br />To: <br />