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.~ <br /> <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />RECEIVED <br />MAR 16 2005 <br />Division of MisErals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />COLORADO <br />DIVISION O F <br />MIN SRALS <br />GEOLOGY <br />0.EG LA NATION•NINING <br />SAf ETY•SCIENCE <br />Bill Owens <br />Governor <br />Russell George <br />Executive Director <br />Ronald W. Cottony <br />Division Director <br />Natural Resource Trustee <br />The application for a Transfer of Permit and Succession of Operators must contain fors (4) major parts: 1) an Application Form; 2) an <br />Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the originalnotarizedsiguahae ofthe <br />Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator. beating an original notarized <br />signature. To expedite processing, please provide the information in the format and order described below. <br />Permit #: M-1978-222-UG Confidential?: N <br />Class: Revision Type/Seq.: SO-5 <br />From: William E. Burnett To: DMG <br />I. FINANCIAL WARRANTY INFORMATION L Doc. Name: SO Fred W. Holley to Wi1Gam E. Burnett <br />Date: 03/16/2005 <br />Specialist: SSS <br />1.Ont3on A: <br />(Initial & Date) <br />I wish to Rr_fA <br />Division of Minerals and Geology to recalculate the Financial Warranty <br />requirements. If you choose Option A you should not submit a Financial <br />Warranty and Performance Warranty until the Division notifies you of tfie <br />correct mmou>rt of your warranty ruprirements.; <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />hereby submit a replacementFinancial Warranty for the smme dollar mmotmt as <br />the Financial Warra~y maintained by the current operator. Iundetstandthatthe <br />Division of Minerals and Geology will recalculate the required reclamation <br />bond within 60-days from the date that the transfer is competed and the <br />required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY <br />INCREASID at that time. As the new operator, I agree to be responsible for <br />posting anyrequired increase to the financial warranty for good carne shown, in <br />e form acceptable to the Board, within 60-days of such notice. <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survev <br />(Initial & Date) <br />/ ~ <br />2. put"lOn B: ~! "~ . <br />