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STATE OF COLGi�AOU <br /> DIVISION OF MINERALS AND GEOLOGY <br /> Department of Natural Resources PM. tT <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 RECEIVED <br /> Phone:(303)866-3567 <br /> FAX:(303)832-8106 1" <br /> 10 199a DEPARTMENT OI <br /> ac�'���n�e�r� NATURAI <br /> TRANSFER OF PERMIT AND SUCCESSION OF'' axalORS ology RESOURCE` <br /> SO APp►oved Roy Romer <br /> by APPLICATION FORM Governor <br /> lames S.Lcchhead <br /> Executive Director <br /> Michael B.Long <br /> Division Director <br /> The application for a Transfer of Permit and Succession of Operators must contain four(4)major parts: I)an Application <br /> Form;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 /> I. FINANCIAL WARRANTY INFORMATION(Choose ONE Oxon): <br /> 1. Option A: �O 4d(9 S I wish to WAIVE 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 requirements. <br /> 2.Option B: I DO NOT WISH TO WAIVE 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 required FINANCIAL <br /> WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br /> time. As the new operator, I agree to be responsible for post ig any <br /> required increase to the financial warranty for good cause shown,in a <br /> form acceptable to the Board,within 60-days of such notice. <br /> f}F : 11laa1g4 <br /> ►�10 J. = m���y <br />