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~i <br />tQ~~ ~-~~ 48a~- j~~7 <br />I~~f'8VT 5~ ~P ~o~,OO <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />I } 1 }Sherman St., Ronm 21 $ <br />Denver, Cobmdu 80203 <br />Phone: 13031 8h6-3567 <br />FA%:13031 872-8) Oh <br />RECEI!/ED <br />JUL 1 2 2002 <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />~~ <br />DEPARTMENT O: <br />NATURAL <br />RESOURCE <br />Ruy Romer <br />Governor <br />lames 5. LachheaA <br />ExttNive Dirttlor <br />Michael 8. Long <br />Division Dimctor <br />The application for a Transfer of Pemtit and Succession of Operators must contain four (4) major parrs: 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 infomtation in the format <br />and order described below. <br />Permit #: ' 1 Confidental?: ~_ <br />Class: .;,r tan Type-Seq.:,5~=(_ <br />From: ~ TiC To: G <br />I. FINANCIAL.. WARRANTY INFORMATI Doc. Na <br />Doc. Date (if no date stamp): St <br />1.0otion A: <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 />2. OoHon B: ~ (?v <br />(Initial & Date) <br />1 DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial Waranty 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 FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, I agree to be responsible for posting any <br />required inaease to the financial warranty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />N ~V= M~12oo2-DI ~ <br />NO `~-e~o~u~r~n <br />-F~'F = 4~ 2n ~ t~ <br />