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<br />STATE OF COLORF-ADO <br />RECEIVED ~~ <br />FEB 2 8 2001 ~~~~ <br />DEP.SRTMENT O. <br />Division of Minerals end Geola~ATU}Zte1r <br />RESOURCE <br />TRANSFER Ole PERMIT AND SUCCESSION OF OPERATORS <br />Rey Romer <br />APPLICATION FORM governor <br />lames 5. Lochheatl <br />Ezecuiive Dnecsor <br />r~nichael B. LOng <br />Dnis~on Director <br />The application for a Transfer of Permit aroi 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 R'ARRANTI' INFORMATION (Choose ONE Option): <br />DIVISION OF MINERALS AND GEOLOGY <br />Uepanmenl rn Natural Resources <br />I l l J Sherman $i., I:unat ] 1 5 SO Approved <br />Uem~cr. Culoradu 90'_07 by /' <br />Vhnne: 17031866-lib; Ci <br />F.9% IlUli 81!-9106 <br />~_at„ G l <br />1. Option A: Q.~_ <br />(Initial & Date} <br />I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty requiremenu. <br />~. Optioo B: <br />(Initial & Date) <br />i DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. 1 hereby submit a replacement Financial Warrant}• 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 Boazd, within 60-days of such notice. <br />~jy = Nc7 <br />