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STATE OF COLOIZ~DO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1373 Sherman St., Room 275 <br />Colorado 80?03 <br />penver C O L O R A D O <br />, ~ o t v i s t o N o r <br />Phone; (303) 866-3167 ~ RECLAMATION <br />FAX: (3031 832-8106 M 1 N 1 NG <br /> -&- <br /> <br />~~OJ`~ SAFETY <br /> sm cM'ens <br />TRAiVSFF.R OF PE IUbIIT AND SUCCESSION OF OPERATORS Governor <br />e~"' ~ Ru~eil George <br />. <br />..o APPLICATiONFORNh ~~ exemflv~rDirecror <br />~ <br />~ / <br />1\ /'r~ (O- t/ Ronald 1ti <br />[artan <br /> <br />~,` ~ <br />~~ ~~ . <br />~ ~~ ~ ~ ~ 1 J w 1 . <br />y <br />Divi<ion DirecTOr <br />. ~!r 2 ~ ~~ /l,~ n y 0`n r- "r -~ Natural Re_tource Trustee <br />.n 1/ t't- 9'~ 1 <br />Ot~t~;~~ nta ano gate N ~ '" ~ - <br />The applh;'~rion for a Transfer of Permit and Succession ofOperators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fec; 3) a Performance Watranty (attached as part of the Applicafion Package) bearing the original notarized <br />signature of the Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarizud signature. To expedite processing, please provide the information in the fomrat and order described below. <br />FINANCIAL WARRANTY LNFORMATION (Choose ONE Option): <br />1. Option A: ,_~ 1 wish to I~IV6 MY R[GHT to a 30-day processing timo to allow the <br />(Initial & Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not subrnit a <br />Financial Warranty and Performance Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* <br />X <br />2. Option B: ___ [ DO NOT W[SH'I'O WAIVE MY RIGHT to a 30-day processing time. 1 <br />Qnitial & Date) hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Warranty maintained by the current operator. I understand <br />that the Division of Reclamation, Mining and Safety wilt recalculate the <br />required reclamation bond within 60-days from the dale Tha[ the transfer is <br />completed and the regtured FINANCIAL W'AIZI2A~;TY COLTD BE <br />SUBS'CAN"T'IALLY LNCREA~ED at that time. As the pew operator,l agree <br />to be responsible fur posting any required increase to the financial warranty <br />far good cause shown, in a form acceptable to the Board, within 60-days of <br />such notice, <br />~5/I 12.aog <br />Office of Office of <br />Mined Land Re[aamation _ Active and Inactive Mines <br />