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~ec`d b y e~t~ on w~ i <br />STATE OF COLOlZADO <br />DIVISION OF RECLAMA710N, MINING AND SAFETY <br />Department of Natural Resourcp5 <br /> <br />1313 Sherman SL, Room 275 Q //~~ p <br />R~b ~~,/G~ <br />Denver, Colorado 80303 <br />nrr <br />' C O L O R A D O <br />nlvtsloN or <br />Phone: 1303) 866-3567 n fj <br />7f~Q~ RECLAMATION <br />FAX: 13031832-8106 ~IYlslo tit 1 N I NG <br /> n of Reclama ~ <br />MlninA and S <br />y ~' SA ETY <br /> afet <br /> - Bill Or~rns <br /> TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Governor <br /> Ru<.eil C:emrRe <br /> APPLICATION FORM Exesuliv«. Dinrtor <br /> Ronald w. Camanv <br /> Division Dimctmr <br /> Natural Raroour<c Trustee <br />The application for a Transfer ofPertnit and Succession of Operators must contain four (4) major pare: 1) an Application Farm; 2) <br />an Application Fee; 3) a Performance Wartanty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator, arid, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the information in the format and order described below. <br />FINANCL4,L WARRANTY LNFORMATION (Choose ONE Option): <br />1.Option A: <br />(Initial & Date) <br />I wish to WAIVE MY RIGHT to a 30day processing tittle to allow the <br />Division of Reclamation, Mining and Safoty to recalculate [he financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial W artanty and Performance W artan[y until the Division notifies you <br />of the cortect amount of your warranty regrdrements.* <br />2. lion B:X__~~__~Q 3-Ob <br />(Initial & Date) <br />Offim of <br />Minert larxl Rev:lamalion <br />[ DO NOT WISH TO WAIVE MY RIGIiT to a 30-day processing time. I <br />hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Wartanty maintained by Ote current operator. 1 wrderstund <br />that dte Division of Reclamation, Mining and Safety will recalculate the <br />requred reclamation bond within GO-days from the date that the transter is <br />completed and the required FINq_NCIAL W'ARRAN'fY COL'LD._I3E <br />SUASTAN"7iALLY fNCRF,ASFD at that time. As the new operator,) agree <br />to be responsible fur posting any reyuired increase to the financial warranty <br />for good cause shown, in a fomt acceptable to the (ioard, within GO-days of <br />such notice. <br />Oaice of <br />Active and Inac'livr Mims <br />