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DIVISION OF MINERALS AND GEOLOGY <br />L~CUdrl Tpn( Ot Nd(Uldl RCpOUlCBS <br />~Tt~TE OF COLORADO <br />RECEIVE® ~-_ <br />! i I : tihivman 5.. Rune "5 1111 , S 2UU2 <br />Drmr" Culnrado Hp_'(7i JVL <br />Phnnc.~iQ l'Hbb-iibi <br />Fix .;u s.»'.-»IUn Division of Minerals andGeolegy <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />DEPART~LNT C <br />NATURAr <br />RESOURCE <br />Roy Romer <br />Govenwr <br />lames S. LOChheaA <br />EYKOn~P Dr(KLO/ <br />Michael 8. Long <br />Diuisian Direcror <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: l) 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 R'ARRANTY INFORMATII <br />Permit #: - Confidental?: J <br />Class: Type-Seq.: soma <br />From: us To: ~Df)'l6 <br />Doc. Name: „c. do o(eria, (u3 ~.~• <br />Doc. Date (if no date stamp): <br />~~¢ 8/14 ~1~5.«~ <br />I.O~h'on A: I wish to W AIVE MY RIGHT [o a 30-day processing time to allow <br />(Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. <br />,D ~ <br />Z <br />2. Option B: 3/27/02 `~~ [ DO NOT WISH TO WAIVE 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 curtent <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 CO~~BSTANTIALLY INCREASED at that <br />time. As the new operator, I agree to be responsible for pasting any <br />required increase to the financial wartanty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />IvOV = N ~tJ~ <br />A~ = tol COI a2 <br />