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- FY(rm'. ~en~e~ wa~-w ~P~- <br />i v r. ~M C~, <br />DIVISION Or MINERALS AND GEOLOGY <br />Oepanmem of Natural Resources <br />I } I) Sherman 51., Room 21 i <br />Denver, Colorado 80?03 <br />Phone: 13011 066-3567 <br />FAY: 17671 872~810fi <br />~b-Z ~ <br />STATE C~~Q~RADC! <br />TRANSFER OF PERMIT AND <br />APPLICATION FORM <br />AUG 0 1 2003 `- ~~~ <br /> <br />Division d Minerals and Geology DIVISION C <br /> M I N E RA L <br /> &- <br /> GEOLOG" <br /> 0.EC LAMATICt <br /> MIN ING•SAFET <br />OF OPERATORS <br /> Bill Owenf <br /> Governor <br /> Greg E. watcher <br /> E[eNllve Oirectd <br /> Michael 8. long <br /> Dh'iNOn DirKlOr <br />The application fa a Transfa of Pemrit and Suxession of Operators must contain four (4) major parts,: 1) an Application <br />Form; 2} an Application Fa; 3} a Perfortnana Warranty (attadted as pert 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 />I. FINANCi i. qr RRA~Y INFORMATION (Choose ONE Ootionl: <br />1. <br /> <br />P~~ <br />z. oQti° s: J~~~~ ~ ~D> <br />(Initial & Date) <br />I wish to }yANE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. If you thoose Option A you should t191 submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the comet amount of your warranty requirements.' <br />I DO NOT WISH TO WANE pIY 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 Gwent <br />operator. I understand that the Division of Minerals and Geology will <br />recakailate the requued reclamation bond within 60-days from the date <br />that the transfer is completed and the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, I agree to be responsible for posting any <br />requved increase to the financial warranty for good cause shown, in a <br />form acceptable to the Eoard, within 60-days of such notice. <br />Nov~NvN6 <br />~=21~Io~- <br />