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iii iiiiiiiiuiii iii STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY I?r•p,vnn!•m rn N,itural RCSUU![g5 I { I i Shr:nnan St.. Ramm 2l'> Drnvcr. CulureJu atl!Ol Phnnc: 1 L I ;1 aLb~ i 56i ECEfVED ~~~ DEP.gRT~L!~'T C NATURA RESOURCE ,,. ..U - ~^ cl'~•9Srd~5 ~ GOn~Y TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS e,., eome* SO Approved APPLICATION FORM e~.e•nor f_ (2l 2(~~~ I•'ner 5. L~chhear' ser~ael 6. Luny Oi•i>ian D~rectar The application for a Transfer of Penr»t and Succession of Operators must contain four (4) major parts: I) an Application Form; ?) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format and order described below. L FINANCIAL WARRANTY INFORMATION (Choose ONE Option): I. Option A: (Initial & Date) '. Ootion B: ~ /o ~c7~ (Initial & Date) I wish to WAIVE Iv1Y RIGHT to a 30-day processing time to allow the Division of Minerals and Geology to recalculate the Financial Warranty requirements. f DO NOT WISH TO WAIVE VIA' RIGHT to a 30-day processing time. I hereby submit a replacement Financial Warranty for the same dollar amount as [he Financial Warranty maintained by the current operator. l understand that the Division of Ivlinerals and Geologv will recalculate the required reclamation bond within 60-days from the date that the transfer is' completed and [he required FINANCIAL WARRANTY' COULD BE SUBSTANTIALLY INCREASED at that time. ,4s [he new operator, I agree to be responsible for posting any required increase to the financial warranty for good cause shown, in a form acceptable to tht Board, within 60-days of such notice.