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:~,~ • • Illllllllllllllllll ~ <br />STATE OF ~O <br />OIZ~DO <br />DIVISION OF MINERALS AND GEOLOGY EIVED <br />' <br />Department of N <br />mural Resources ~ ~ <br />C <br />1313 Sherman 51.. Room 27 i SEF 0 1 2000 <br />Denver, Colorado 80?03 - <br />DIVISION O r ' <br /> <br />~ <br />Phone: (1031 866 3567 MINERALS <br />FAY: (3071 832-8106 Division of Minerals and Geology & <br /> ~ GEOLOGY'. <br /> RECLAMATION <br />MINING•SAFE TY' <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS fli11 ow,ens <br /> <br />APPLICATION FORM Governor <br /> Creg E. watcher <br /> Execmive DveUOr <br /> Michaele Long <br /> Division Director <br />The application for a Transfer of Pemtit and Succession of Operators must contain four (4) major p s: 1) an Application <br />Fonn; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Packa e) bearing the original <br />notarized signature of the Successor Operator; and, 4) a replacement Financial Warranty pro ided by the Successor <br />Operator, bearing an original notazized signature. To expedite processing, please provide the in rmation in the format <br />and order described below. <br /> -rg~s-a~a i <br /> 3~F~ ~~~ <br /> i~ 35~lD ~ as <br />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1.Option A: I wish to W AIVE MY RIGHT to a 30-day prat ssing time to allow <br />(Initial & Date) the Division of Minerals and Geology to rec culate the Financial <br />Warranty requirements. If you choose Option A - ou should tt t submit <br />a Financial Warranrv and Performance Warr rv until the Division <br />notifies you of the correct amount of your warn ty requireroents. ` <br />2. 'on :~~ I DO NOT WISH TO WANE MY RIGHT to 30-day processing <br />(Initial & Date) time. I hereby submit a replacement Financial arranri~ for the same <br />'" dollar amount as the Financial Warranty ma ained by the current <br />operator. 1 understand that the Division of Min rats and Geology will <br />recalculate the required reclamation bond within 0-davs from the date <br />that the transfer is completed and the r wired FINANCIAL <br />WARRANTY CO BE CJBSTANT LL IN REASED at that <br />time. As the new operator. I agree to be respo Bible for posting any <br />required increase to the fmarcial warranty for g od cause shown. in a <br />form acceptable to the Eoard, within 60-davs of uch notice. <br />