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' ~ # ~ as.~ <br />r' STATE O~ COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Departmern of Natural Resources ~ <br />1713 Sherman St., Ronm 215 RECEIVED ~ <br />Denver, Colorado 80?03 <br />FAX~1303i 8112~81068~ JUL ~ Q ~~~~ <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />RESOURCE <br />Roy Romer <br />Governor <br />James 5. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Pemtit and Succession of Operators must contain four (4) major pads: I) 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#: F1-14$0-143 Confidental?: ~__ <br />Class: tZo'olsrcr~ Type-Seq.:S~- 1 <br />From: Irv 'tl g h 111 To: -DWIC.. ___ <br />Doc. Name: ~ <br />I. FINANCIAL WARRANTY INFORMATION (S Doc. Date (if no date stamp): ~ 1 L /Oa l.onaina E <br />nt~u <br />1. Option A: /~ I wish to W AIVE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. <br />2. Option B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial & Date) time. I hereby submit a replacement Financial W an•anty for the same <br />dollar 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 FMANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, I 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 Boazd, within 60-days of such notice. <br />Nov= NoN~ <br />AF=1023102 <br />