2006-10-30_REVISION - M1977247 ‎(2)‎

• Permit No: M1977247
• IBM Index Class Name: Revision
• Doc Date: 10/30/2006
• Doc Name: Tsf of Permitand S.O. application
• From: Holcim ‎(US)‎, Inc.
• To: DRMS
• Type & Sequence: SO4
• Media Type: D
• Archive: No

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m~~2y-, J
~~~ r'ao~c+m cusp ~n~. STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY /
Department d Natural Resounes
7313 Sftennan St., Room 215
Oenver, Colorado 80203
PFrone: 1303) 86(x3567
FAX: [phone]$706
I~~CC"~t~/?~'~ COLORADO
1"'S ~'~-• DIV Ia ION OF
~~T 3 0 ZQQS .~ M I N E Ram
GEOLOGY
Division of Reclamation, RFCLA NATION•NINING
Mining and Safely EA iFTY•ECIENCE
TRANSFER OF PERMIT AND
OF OPERATORS,,
Bill Owens
GovemEv
Russell George
FxeMive Director
APPLICATION FORM
RERUN W. Vn~Y
Division DinxtEN
Natural Resource Trustce
Thu form has been approved by flee Mined Land Reclamation Board pursuant to stdions 3432-117, CRS., ojthe Mined Land
RecGanafwnAd and 3432.5-II7, CRS., ojthe Cobrodo Lend~Adjor tlEeEztradion ojConttrudion Materia& Arry
altera8on ormodiJitoBon ojileiajorm, »irdiontapprovalbytJreBoardskallrartbtuE tleefmanEaal»arrardyberegfnEnidandreve8ut
the voiding of any perneit issued be conjeenction with suF~l brva6d fntanciallrEUrranty and subjaY the rrpwator to Exase and desist
orders and cevIIpeoeadoiesjar operadtegwahoea apermitpursuant to aeafiona 34-3z-I23, C.R.S, ojtheMmed Land RulanationAa
and 3432.5-123, CRS., of Nu Colorado Land Rec7amadon Ad jor tlEC En6acSon ajCoatstraE7ion Materials.
The application far a Transfer of Permit and Sttt:cession of Operators must contain fora (4) ~Jm' parts: 1) an Appvcati~ Form; 2) an
Application Fee; 3) a Ptaformence Warranty (attachod as part of the Application Package) bearing the original notarizod signature of the
517ccessor Operator; and, 4) a replacement Financial Warrauty provided by the Successor Operator, bearing an original notarized signatue.
To expedite processing, please provide the information is the format and order described below.
RECEIVED
NOY 13 T006
FINANCIAL WARRANTY INFORMATION (Choose ONE Option): Division of keelamaGon,
Mining and Safety
L Qydog A: I wish to wAIVE MY RIGHT to a 3o-day processing time to avow t1u
(Initial @ Date) Division of M»rerals and Geology to recalctate the Financial Warranty
requireme~uts. Ifyou choose Option A you should god submit a Financial Waranty
and Performance Warranty until the Division notifies you of the correct amount of
yota warranty requirements.•
2. Option B: ~ I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processng tune. I
(Initial & Date hereby submit a replacement Financial Warranty f~ the same dollar amount as the
//~ ~~ ~ Financial Warranty maintained by the current operator. I understand that the
C~ ///0 ~/~'6 Division of Minerels and Geology will recalculate the required reclamation bond
within 60-days from the date that the transfer is completed and the required
C W - - _1 COULD B~_Si1BST_ANTW.LY INCREASID at
that time. As the sew operates, I agree to be responsible for posting any required
incaease to the financial warranty for good cause shown, in a form acceptable to the
Board, within 60-days of such notice.
C~ce of Office of Colorado
Mtnwt r arvt Rarlamarinn AUive and Inactive Mines Geobgiral Survey