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,; <br />DIVISION OE MINERALS AND GEOLOGY <br />Depattmenl of Natural Resources <br />I i 13 Sherman 51., Room ?1 5 <br />Dem-rr, Colo rnclo AO?03 <br />Rhone: 13031 8G6-i56i <br />FAX. IJ03! 83?-8106 <br />M-2000-034 LOVELAND <br />IPaet~t 76/e/a ~ las. so <br />STAGE O~ COLOR.P~.DO <br />RECEIVED <br />MAY 1 52002 <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />DEPARTMENT OF <br />NATU T <br />RESOURCE ~ <br />Ruy Romer <br />Governor <br />lames 5. Lochhearf <br />Executive Director <br />Michael 8. Long <br />Division DIIeROr <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 #: Confidental?: ~ <br />Class: Type-Seq.: Cn-1 <br />From: ~ To: ~n11 C-s <br />I. FINANCL~L. WARRANTY INFORMATION (~ Doc. Na ~o e 4~st <br />Doc. Date (if no date stamp): S/r5l Da ~*~- <br />1.0otion A: <br />(Initial & Date) <br />2. Ootion B: X 3 02 <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 />Warranty 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 />dollaz 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 COULD 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 />Nbv~ NO'(~ <br />4~3a~~3 <br />