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~j-2'~ <br />gyp,-.,' Ducbmmun Business i~us~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY v <br />Uepartmern of Natural Resources <br />1313 Sherman SL, Room 215 ~/~G r' ~A,~ <br />Denver, Colorado 80203 ~ip. ~ `~ '' <br />Phone: 13031866-3567 ST%oqo 1 '° <br />FAr: 13031 832-8106 ~ <br />~7jnP da ~W/.7V <br />a'"X ~1/ <br />Ce~4 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORSk <br />APPLICATION FORM '~ <br />I <br />1 <br />DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />Roy Romer <br />Governor <br />lames 5. Lochhead <br />Executive Director <br />Michael B. Lang <br />Division Director <br />The application for a Transfer of Pemlit and Succession of Operators must contain four (4) major parts: l) 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 />FINANCIAL WARRANTY INFORMATION (Choose ONEQption): <br />°f -~6~0~ <br />~tiom A: ~~ 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. O~tiom 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 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-danysfofs loch notice^.' <br />`~1oVG~~1V~ <br />-~~'= Z~z2~c~4 <br />