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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RECEIVED RECEIVED ~® <br />Department of Nawral Resources ((~~ ((~~ gttrtq <br />1 I I ]Sherman 51., Room 215 AUV 2 O WW AUG 2 5 2003 <br />Denver, Colorado x0203 <br />Phone: 13031 x66-3567 <br />Fns: uo3i a3z-al o6 Division of Minerals and cealoayUivision ~f Minerals and Geology <br />DEPARTMENT OI <br />NATURAL <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS RESOURCE.` <br />Roy Romer <br />APPLICATION FORM governor <br />lames 5. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Warrertty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Wamdrrty 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 />Permit #: M-1977-534 Confidental?: N <br />Class: Revision Type-Seq.: SO-1 <br />From: Citv of Golden To: DHG <br />I. FINANCIAL WARRANTY INFORMATIO Doc. Name:SO Mountain Aggregates to City of <br />Doc. Date (if no date stamp): 09/~/2009 (]n7 ae„ <br />~ ~la~/D3 <br />Option A: I I wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. <br />2. Ootion B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial & Date) time. I hereby submit a replacement Financial Warranty 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 ai 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 />Noy = Norv~ <br />AF= 1~30~04 <br />