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<br />STATE OF <br />DIVISION Of MINERALS AND GEOLOGY <br />Depanmem of Natural Resources <br />1313 Sherman A., Room 213 <br />Derner, Colorado 80703 <br />Phone: 17071866-3567 <br />FAX: 13071 8328106 <br /> <br />NOU 1 2 2002` <br />Division of Minerals and <br />~~ <br />DIVISiUU C <br />hll",~ & R A L <br />J GEOLOG <br />0.E~C LAMATIC~ <br />MIN ING~SAF Ea <br />_ ryP./ TRANSFER OF PERMIT AND SUCCESSION OF OPERATL'~]~E ;II o,,en: <br />/1(y~'~ Governor <br />`xt APPLICATION FORM NQ~/ ~ 2 2~~2 E.e cwive D lector <br />Michael B. Long <br />Division of Minerals and G~ai®ggo+recrnr <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Fonn; 2) an Appication Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signaure 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 />~-ate <br />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. ~ ~~ ~~ ~ dZ- I wish to WANE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requvemerrts. )f you choose Option A you should ro submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />2. Oolion B: I DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />(Initial & Date) time. I hereby submit a replacement Financial Warranty for the same <br />_ - dollar amount as the Financial Warranty maintained by the current <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 requved FINANCIAL <br />~gpNTY COLn D BE SLIBSTANTLAi,LY INC' FR~ASED at that <br />time. As the new operator, 1 agree to be responsible For posting any <br />required increase [o the financial warranty Cor good cause shown, in a <br />form acceptable to the Eoard, within 60-days of such notice. <br />