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I.. ~ M-1977-036 GREELEY 35TH AVE <br />~Cei~ 7!o!e (o ~/aS.Gb <br /> STATE o~ coLOr~DO <br /> <br />DIVISION Of MINERALS AND GEOLOGY _ <br />~euar,mem ~; Natural Resources RECEIVED <br />171 3 Sharman $t., Room ? 7 5 <br />Denver. Colord<,u 80203 <br />Vhnne: (3031 866-1567 MAY 1 5 2002 <br />FAY: 130 31 8 3 3-8 1 06 <br /> Uieisian of Minerals and Geolo <br />ev DEP:~RT~IEIVT o~ <br />T <br /> I~ <br />ATURAT <br /> RESOURCE <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br /> Roy Romer <br /> APPLICATION FORM Governor <br /> lames 5. Lochhead <br /> Executive Direcrar <br /> Michael g. Long <br /> Division Director <br />The application for a Transfer ofPermit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Farm; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format <br />and order described below. <br />Permit#:~- ~Q?7- 03(o Confidental?: N <br />Class: ~]ision• Type-Seq.;Jp- I <br />From: ' r• ~- Z~ To: 'DtytG <br />I. FINANCIAL R'ARRANTY INFORMATION (Ct Doc. Name: n ltxa ,,c <br />Doc. Date (if no date stamp): S / 'o <br />]. ODtion A: <br />(Initial & Date) <br />Z. ODtIOn B: x MDS ~~IO~/ <br />(Initial & Date) <br />I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial . <br />Warranty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financial Warranty far the same <br />dollar amount as the Financial Warranty maintained,by the cunent <br />i <br />operator. I understand that the Division of Minerals and Geology will <br />recalculate the required reclamation bond within 60-days from the date <br />that the transfer is completed and the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, I agree to be responsible for posting any <br />required increase to the financial warranty for good cause shown, in a <br />form acceptable to the Boazd, within 60-days of such notice. <br />Novi NcN~ <br />