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• ~ m~~iyo~ sr~ i ~/ ~YD m ~Pa~l~ CU u-r~ / 'i-L~: L~r-lG ~ STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY Oepartmenc of Natural Resources 1313 Sherman SL, Room 375 Denver, Colorado 80203 Phone. 1303)866-356i f.4X: i303)a3?-8106 RECEIVED JUN 0 9 2003 L/ Division ~f Minerals and Geology APPLICATION FO&i1 -~ -- D l v i S 1 0 N M(NERA: &~- GEOLOC RE-CLAMAT I C MINING-SAFc Bill Owens Cove.ncr Creg E. Walther Execmive Director Michael B. Lang Division Director The application for a Transfer of Perrrtit and Succession of Operators must contain four (4) major parts: I) an Application Form; 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 Warranty provided by the Successor Operator, beazing an original notarized signature. To expedite processing, please provide the information in the format and order described below. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): I. do A: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS/ (Initial & Date) 2. tion B: d~ S va3 (Initial & Date) I wish to WAIVE MY RIGHT to a 30-day processing time to allow the Division of Minerals and Geology to recalculate the Financial Warranty requirements. Ifyou choose Option A you should not submit a Financial Warranty and Perfcr:..arce Warranty until the Division notifies you of the correct amount of your warranty requirements." I DO l~iOT WISH TO WANE MY RIGHT to a 30-day processing time. I hereby submit a replacement Financial Warranty for the same dollar amount as the Financial Warranty maintained by the current operator. I understand that 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 SUBSTANTIA~Y_iNCR1rASED at that time. As the new operator. I as~ee to be responsible for posting any required increase to the fmarcial warranty for good cause shottin. in a form acceptable to the Eoard, within 60-days of such notice.