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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Departrneni of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 6663567 <br />FAX: (303) 832-8106 <br />R~~E1V~® <br />~~~ ~ ~ ~~ <br />IIiiw.... ~...u,,,,,,.~:..:: e.etu®~ <br />COLORADO <br />DIVISION O F <br />MINERALS <br />TRANSFER OF PERMIT AND SIICCESSION OF OPERATORS <br />APPLICATION FORM <br />GEOLOGY <br />0.EC MATION•MINING <br />r <br />Bill Owens <br />Covemor <br />Russell George <br />Executive Dinsctor <br />Ronald W. Caaany <br />Division DireGOr <br />Natural Resource Tnntee <br />The application for a Transfer of Permit and Succession of Operators must containfour (4) pans: l) an Application Form; 2) an <br />ApplicationFec;3)aPerfo>manceWarrantq(attgchedaspartoftheApplicati~Package) the originalnWatiaodsigoahaeofthe <br />Successor Operaia; and; 4) a replacement Financial Warrany provided by the 3 Operator, beating an criginal notarized <br />signature. To expedite processing, please provide the information in the format and o described below. <br />I. FINANCIAL WARRANTY INFORMATION h O <br />1.OnHon A: I wish to HT to a 30-day processing time to allow the <br />(Initial & Date) Division Mmerals and Geology to recalculate the Financial Warranty <br />ems. If you choose Option A you should not submit a Financial <br />W ty and Performance Warranty wrtil the Divisice noti&es you of the <br />amoum of your warrany requirements.' <br />i~~ <br />2.Oution B: ~~ ~ I DO NOT WISH TO WAIVE MY RIGHT t4 a 30-day procesang time. I <br />(Initial Fc Date} I hereby submit a replacement Financial Warranty for the same dollar amount as <br />the Financial Wacrantymaintainedbythecurrentoperator. Iunderstmrdthatthe <br />Mvision of Minerals and Geology will recalculate the required reclamation <br />bond within 60-days from the date that the transfer is completed and the <br />required FINANCLAT • WAR72AAtTy COLII~ BE S17BSTANTItLLY <br />tNCREASID at that time. As the new operator, I agree to be responsible for <br />posting anyregwred increase to the finmmcial warranty for good cause shown, in <br />a form acceptable to the Board, within fi0•days of such notice. <br />/~OV~ = I~JDN~ <br />Offioe of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geoloaiwl Survev <br />