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~uuv~urvii4ilnu lU:ll AM exurrr sYS'1'xMS FAX No, 719 5 <br />., <br />Sc(pp)ernP~t-A1 cep. >c~ e- r-e~i c( on ~ l io/off <br />STATE OF <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Departmenlof NaNral Resources R E C E f V~ E D <br />- ~ '1313 Siianiiait-SL, Room 275 ~ - ~ ~ ~ ~ ~ ~- <br />Oelwer Calaado 80703 <br />Phone: D03) 8663567 <br />qi ir, 3 ~~ 2007 <br />FA);: (3031 0338106 Division of Reclamation <br /> Mining and Safety <br />TRA.N9FER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLfCATION FORM <br />~~ ~~~~ CO L~O RA~D O ~~ <br />O I u 1 2 1 0 N O r <br />RECLAMATION <br />MINING <br />SAF~TY <br />BRI Owrnr <br />raa"gMI <br />R~uell Ceerge <br />ESeoxHn Dlreaa <br />Romld w. Gttany <br />owwsa Dlr¢cto. <br />Natu.al Rezourtc Truace <br />The applicatioafor aTYeasfer of Permit end Succession ofOperators must contain four (4) major pare: 1) anApplicetion Forn; 2) <br />an AppUcadon Fee; 3) a Performance Warzanty (attached as part of the Application Package) betting tha original notarized <br />sigmture of Ore Successor Operator; and, 4) a replacement Financial Wantal7Ay ytovided by Ose Successor Operator, bclrvlg as <br />~~ original notarized signature. To expedite processing, pirasc provide the i¢formatio¢in the foorlat and orderdeacribed below, <br />L FINANCIAL. WARRANTY INFORMATION (C]soose ONE lhttion): <br />L Ontion A: [wish eo WAIVE MY R1GHTto s 30dayprocessiag tisue to allow the <br />(Initial&Date) Division of Reclamaton, Mining and Sa:fi;ry to recalculate the Fiaa¢ciel <br />Watranry.tcquircmenta_ If you ahoosa Option A you ahotild not submit a <br />Financial `Waranty sndperfoDnance Warranty u"niilthe Divi'sidn'nohfies you "' <br />of the correct amount of your warranty rcquitenacnts.' <br />2.O ~ n N. b'la a1U~ f p0 NOT WISH'f0 WrF)VE MY RIGHT to a 30-day procecaing tints. I <br />(]nitial S Dace) hereby submit a replacasrlcnt Finaocial Warranty for tba same dollar arnosmt <br />as the Fiaancal Warranty maintained by tlto cturent opernror. I undorstand <br />that the Aivision of Reclamation, Mining and Safety will recalculate the <br />required reclamation. bond wiO»n GO-dnya from the dato ilsat the vausl.Lr, is <br />completed and Ose required FCNANCJ~I, WARRANTY COUL.j~3,~ <br />SLITSTANTIALLYILiCREASCD atlhat time. As she now operator., l agree <br />to Ire responsible for posting any regtired increase to Ute Fuancial warranty <br />far good cause shown, in a formacceptablc to ilte Aoard, within GO-days of <br />such notlco. <br />Onice of ~ OI({ca of <br />Mined land 0.cciamarJnn, Acdve and Inactive Mines , <br />