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• lAN-23-&2 6&:15 FROlktolorado 6ivisian or Minerals & Geulo¢y +7303&663567 T-453 P.QSt/006 F-S36 <br />• v. ~.. <br />DlwS1ON OF mWERALS AND GEOLDCY I <br />DeF'anmcm of Nyura! Resaurcr.K 11 <br />i 2 7.1 Sncrtnan Si.. Room ?7 i ! <br />i]emr', Coior~nu aL'!OJ ~~ ~~ <br />PAOnc~[3011 Bho-}567 <br />FAX: 17031672-fl1 U6 ~AG.~~ t <br />t; - "' ~p°f~EPf,F.ThdEtST' O% <br />~x~~! Q `~ Vi~1 lJ Cam' iL <br />i'Iti~r+tSF'Eir Of PEI~ix 4NTS SU~CUSSI~R' ~€ `J°ED~,r:g~~, ~ ~~D,t F.ESOt7R~~E`_ <br />APPLCCATIO)k FQPaM 'r'oo~• en~ermr <br />lanes 5. LochMad <br />6tcuri•r Dirrror <br />M%d'+xl s, Long <br />Di•ision Dlreclw <br />The application for z Zratrsfer ofPetmit and Succession of Operators must contain four (4) major parts: ]) an Appiieatitm <br />Fottu; 2) an Application Fee; a) aPerforulance 14'ananty (attad7ed as car[ of the Apalicai?on Pac}:ale) beating the ori~nnl <br />nntariz~I siglature of the SuccE~sor 6pe<ztor, and, 41 a replacer¢ent Financial tt'arrattiy provided by the Suvxssor <br />Operainr,l7,~rittg an originaS notarized si~aattue. To exnedvepincessia=, niease wwide the infotutarian in the fomtax <br />and order described h'-ltm.•, <br />~C Fsx~*icL~, wArcrcnhrr~ rn~oRn~x~ox ~chn~e ol~ oprio;!}: <br />1.O lion _ • I wish m GT 41"vF. N(1' FSGi7T to a 30-day pro: es;ing time to allow <br />{Initial & Date} the Division of Minerals and Geology to reaiculaze dte Financial <br />Warranty rt:~uirements. <br />1 <br />S~,~ '~'~3 `G ~ <br />Z. 4ntian B!, ~ ^ , }i l 1 ~ NC,T W; $H Tea` a^JL ivlY RI~1iz'i io a 30-day pexcssing <br />(Initial & Date) time. 1 hereby subariit a xeplacemt'rtt Financial Warranty For the same <br />dollar arnoutrt as the Fitancial Watratny maintained liy the current <br />operator. I understand that the Division ofMmerals and Geology will <br />rrra]culate the required reclamation bond vnthin 60-days from the date <br />that the transfer is wmpleted and the required FTNnNCIAL <br />WARP,ANTY Tt.D A ^~1JBS'1'ANTI AT.T.Y TNCIili.A5£D az chat <br />time. As the new operator, I age to be responsible For posting xny <br />• ttquircd increa:,e to the financial warrang• for good cause shown, in a <br />form acc,~ta6te to lire 9aard, within 60-days of such notice, <br />