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;~ , :. <br /> <br />~,pz/ <br />~~-~ ~~~ <br />~ coLor~Do <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Nawral ReSOUrCes JUN 0 ~ 2UUL <br />~J L <br />1313 Sharman SL, Ronm ? 1 i <br />Denver, Colorado NO?03 <br />Phone: 1303)N66-1567 Division of Minerals and Geology <br />FAX: 13031 871-N 106 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS" <br />APPLICATION FORM <br />Roy Romer <br />Governor <br />lames S. Lochhead <br />Executive Direcor <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: 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 />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1.0otion 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. <br />' 2 lion B: L+ t M ~Z [ DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />(Initial & Date) time. [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 COULA 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 />NOV- N~rl~ <br />=ti~lz~lo2 <br />