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,~~ ~a9~ ~ias~ <br />STATE OF COLOlZ~DO <br />D4V15lON OF MINERALS AND GEOLOGY <br />f N <br />l R <br />t <br />t <br />D <br />epartmen <br />o <br />a <br />ura <br />esources RECEIVED <br />L C Y G <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 ~ ~ ~ D t v 15 I D ~^ <br />Phone: f303) 866-3567 , p <br />~U1R~ Z' ~. A'I I N 1_ R. <br />FAX: (3D3) 832-810b &- <br /> GEOLO <br />. Division o} Minerals and GeotoGlr 0. E'C L A M A 7 <br /> ' MINING•SA <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS siu Owens <br /> <br />APPLICATION FORM GOVMOOr <br /> ereg E. walcner <br /> ' Executive Director <br /> <br />~ Michael B. Long <br /> • Division Direaov <br />The application for a Transfer of Pemvt and Succession of Operators must contain four (4) major parts: 1) an Application <br />Foml; 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 };NFORMATION (Choose ONE Option): <br />1. OotiT on A: 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. Ifyou choose Option A you should loot submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements <br />2. Option B: Fir ~ - ~O~' 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 posting 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 />