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TV D N �n <br />�6rn'. Can+,nen�al mrt�- cries <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />G <br />cord. ✓ �-�C/ <br />STATE OF AQ OIRADO <br />�jg,'�07 <br />sf4i `` ^,ice <br />ss�VON <br />Y <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM u/ <br />D I v 1510N <br />MINERA, <br />GEOLO( <br />R EC LA M A T I <br />MINING-SAFE <br />801 Owens <br />Go.ernor <br />Greg E. Walcher <br />Executive Director <br />Mkhae( B. long <br />Di,ition Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) 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 />1. Qption 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. If you choose Option A you should not submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />2. n B: 5 °S -off °31 DO NOT WISH TO WAIVE MY RIGHT to a 30 -day processing <br />(Inr tal & 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 anv <br />required increase to the financial warranty for good cause sho%),n, in a <br />form acceptable to the Board, within 60 -days of such notice. <br />Not =N�!E <br />