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• III III~II~III~II~II • Permit Number <br />M-77-081 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORSb ~(`~11/~ ~ <br />APPLICATION FORM <br />MAr z la ~s~s <br />Division of Mmet Is ~ • I)Z~t 271~f <br />The application for a Transfer of Permit and Succession of Operators mus~ t.~b~iffif'EiYfour <br />C4) major parts: 1) an Application Form; 2) an Application Fee; 3) a Performance <br />Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator; and, 4) a replacement Financial Warranty provided <br />by the Successor Operator, bearing an original notarized signature. To expedite <br />processing, please provide the information in the format and order described below. <br />- x-77-v~~ <br />I. FINANCIAL WARRANTY INFORMATION (Choose ~NE 0 tion>: ~~ ^OO ~ <br />1. Option A: I wish to WAIVE MY RIGHT to a 30-day <br />(Initial & Date) processing time to allow the Division of <br />2. Option B: '(a <br />(Initial & Date) <br />Minerals and Geology to recalculate the• <br />Financial Warranty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT to a <br />30-day processing time. I hereby submit a <br />replacement Financial Warranty for the same <br />dollar amount as the Financial Warranty <br />maintained by the current operator. I <br />understand that the Division of Minerals and <br />Geology will recalculate the required <br />reclamation bond within 60-days from the <br />decision date and the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at <br />that time. As the new operator, I agree to <br />be responsible for posting any required <br />increase to the financial warranty for good <br />cause shown, in a form acceptable to the <br />Boartl, within 6C-days of such notice. <br />Greeley West Pil <br />11-2231 <br />