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t . <br /> ~ lug u v f- sv ~-~ <br />~ 2 ~ i ~/ o ~ ~ (I Z~o~-- <br />_ STATE OF COLORADO <br />DIVISION OF RECLAMATION, <br />Depanrrwnt of N,nUIo! Rnrwrtr> MINING AND SAFETY <br />RECEIVED <br />t 113 5hrrnwn SG, koom ? t 5 <br />Ca~nradn aoml <br />DenK r <br />SEP 0 4 <br />C° L O R ,, D O <br />. <br />Pfionc: rfp3i 866-3ib7 <br />rA%' 303)a±2-8106 2001 <br />DIVI <br />stop u!~e <br />l n t v! s I o n O F <br />RECLAMA'C(ON <br />MINING <br /> c <br />amationr <br />Mining and Saf f <br /> ety SAI <br />TY <br /> 6~!1 Q.wrrs ~ ~-_ <br /> 'TRANSFER OF PERMIT A.VD SUCCESSION OF OPERATORS ~°'+T`~°` <br /> Ru•a•.1 Ge++rr.• <br /> APPLICATION FOR1i t.erml~r Direnm <br /> Ronab W. cause <br /> Divwm Dm..ml <br /> .Vam:d Rrwmce rm>rt4 <br />The appliwtioa for a'Cmnsfer ofPerroit and Succession of Operators must mnmin four (4) trtajur pare: t) an Application Farm; 2) <br />an Application Fee; 31 a Performance Warranty (atutcheri as parr of the Appliwtion Pacl®ge) bearing the original notarized <br />sigmturc ot'thc StR:ccssor (>perotor atd, 4) a replacement Financial Warranty pmvidtd by the Successor Openror, bearing att <br />original notarized signature. To expedite processing, please provide dte information in dte format and ardor described below. <br />I. FINAVCLIL WARRAD7'I'YL*IP'OR:MATIOY(ChooseONEODtiuol: <br />1. Ootion A: ___ 1 wish b W'AIVC: A[Y RIGHT to a 3f1-day processing time [o allow the <br />(Initial ~ Date) Ihvi6ion of Reclatrntioa Minting and Safety to recalculate the Financial <br />Warranty requhetrlents. If you choose Oprion A you should not submit a <br />Financial W atrarrty and Performance Watranly until the Division notifies you <br />of thu canal amount oCyour warranty rcquircmcnts.• <br />2. do :~~9/1~~ 1 DO NOT WfSH'f0 WAIVE MY RICdfI'to a ~I)day processing tirru. 1 <br />I Initial B Datc) hereby submit a replacement Financial W arranty for the same dollar amour[ <br />as the Financial Warrany maintaira-d by the current operator. i understand <br />that the Uivision of Rwlamation, Mining and SafcYy will recalculrtr the <br />required rrclarmtion hood within 60-days from the date that the transfer is <br />mmplMrd and the required FRAtiCiAI. WARRANTY COUL!)_RF <br />$liUSfATiT1ALLY IAiCREAS[D al that time. As the new operator.) ogre <br />to he responsible far posting any required inerwse [o the financial warranty <br />for goal cause shown in a furor arcrptable W the Bwrd, within (ill-days a( / <br />such notice. ,1 ~ ///~ <br />NOV~ ~l©n~ (~ <br />uincr to CNbrr +a <br />Mltn_yl 1 dnd RnaJina6un Arrive and Inatliw+ Mimw <br />