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~; ;. STATE OF COLORADO /~ DIVISION OF MINERALS AND GEOLOGY E j~~ ~I ° ~Uepanment of Nawta) Resources 1313 Sherman Si-, Ronm ?1 S ~pr~~ ~~ ~~ Dern er, Colorado A0203 6G.- Phnne:1303) fl66-3567 r /~ L,,' i~ / F,~Y: )3o3i azz-nI o~M ~I GF /' LO/1.S"lr" G71d~1j1/1`' Divis~~Cn o0 2 2U~61O~ Y, 1' TRANSFERfOF PERMIT AND SUCCESSION OF OPERATOaR~Y APPLICATION FORM ~1~5'112--`' ~~-03,i DEPARTMENT OF NATURAL RESOURCE Roy Romer Governor lames 5. Lochhead Executive Director Michael 6. Long ~ Division Direcror The application for a Transfer of Permit 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, bearing an original notarized signature. To expedite processing, please provide the information in the format and order described below. 1. FINANCIAL WARRANTY INFORMATION (Choose ONE O tom): l . Optiou A: ~~~~~~ (~~ I wish to W RIVE MY RIGHT to a 30-day processing time to allow (Initial & Date) the Division of Minerals and Geology to recalculate the Financial Warranty requirements. 2. lion B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing (Initial & Date) 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 SUBSTANTIALLY INCREASED at that time. As the new operator, [agree to be responsible for posting any required increase to the financial wan•anty for good cause shown, in a form acceptable to the Board, within 60-days of such notice.