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' ~ ~ M-1977-439 HOME OFFICE <br />i22a.et ~ pk 7l¢ (¢ Ip ~ I ~ .oo <br />STATE O~ COLORADO <br /> <br />DIVISION OF MINERALS AND GEOLOGY _ <br />Depanmeni o(Natural Resources <br />ECEIVED <br />111? Sharman 51., Ronm 21 i R <br />Denver, Coloradn 80'_03 <br />Phone: 13031 8To6-3567 MAY 152002 <br />FAC'. l30 3r 832-8106 <br /> DEP.SRTMFNT OF <br />tMineralsatldGeologY <br /> Divisiono <br />NATURAT <br /> RESOURCE <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br /> Roy Romer <br /> APPLICATION FORM Governor <br /> lames S. Lochhead <br /> Execwive Director <br /> Michael 8. Long <br /> Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator-, and, 4) a replacement Financial Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format <br />and order described below. <br />Permit #:1~'f - 14'IT - U3g Confidental?: ti <br />Class:_;~ur-.imp Type-Seq.:SO-I <br />From: TKC ro: DmU <br />I. FINANCIAL WARRANTY INFORMATION ( hoo Doc. Na e' r rr~ ~O~~f <br />DoC. Date (if n.n date stamol: ,5". J S ~a <br />I. lion A: <br />(Initial & Date) <br />2. O~hon B: x(z~d// <br />(Initial & Date) <br />I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Wananty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />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 />WARRANTY COUL D BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, [agree to be responsible for posting any <br />required increase to the financial warranty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />Nov= NnrtE <br />fl-F =81~5~c7L <br />