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~' ~fa~~ 51~(1°~ / ~ o ' ~ 2 <br />.i .. <br />' m ~ ~ ~~ ~ STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOG RECEIVED <br />Department of Natural Resources <br />73735herman SC, Room 2i5 AUG 23 2004 RECEIV COLORADO <br />Denver, Colorado 80203 D I V I S I O N O F <br />Phone: (303) 866-3567 ~f1 M I N ERA L S <br />FAX: (303) 632-6t06 Glviaien of Minerals and Geology 2 ~ 2004 <br />GEOLOGY <br />0.EClAMATION•MINING <br />ision of Minerals and Caology SAf ETY•SCIENCE <br />Bill Owens <br />RECEI,/E~tANSFER OF PERMIT AND SUCCESSION OF OPERATORS Governor <br />r/ Russell George <br />SEP ~ 4 APPLICATION FOBM / Executive Director <br />6 200 " Ronald W. Cottony <br />Division Director <br />G+rision N Minerals and Geology .. Natural Resource Trustee <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an ApplicationForm; 2) an <br />Application Fee; 3) a Performaoce Warranty (attached as part ofthe Application Package} bearing the original notarizedsigratme ofthe <br />Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized <br />signature. To expedite processing, please provide the information in the format and order described below. <br />FINANCIAL WARRANTY INFORMATION (Choose ONE DDtlOn): <br />1.0 A: I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) Division of Minerals and Geology to rccalculate the Financial Warranty <br />requirements. If you choose Option A you should not submit a Financial <br />Warranty and Performance Warranty urrtil the Division notifies you of the <br />correct amount of your warranty requirements.* <br />2.0 'on B: 1!~,,~.s~" ~6 Gam/ I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time, I <br />(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount as <br />the Financial Warranty maintained by the current operator. I under~;and that the <br />Division of Minerals and Geology will recalculate the requrred reclamation <br />bond within 60-days from the date that the transfer is completed and the <br />required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY <br />INCREASED at that time. As the new operator, I agree to be responsible for <br />Posting any required increase to the financial warrantyfor good cause shown, in <br />a form acceptable to the Board, witlrin 60-days of such notice. <br />NoY= No~- <br />~ L~ue ` oG ~ v /zno5 <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />