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, .. i o' PMC~ <br />~pY,~, ~~inet~la,l m~~IGUS ~CoVP / <br />~fi <br />m ~~3vn`1 ~ STATE, CAF COLORADO <br />DIVISION Of MINERALS AND GEOLOGY <br />Department ai M1atural Resources C <br />~~ ~^ <br />\~ <br />13 i) Sherman SL <br />Room 275 ~ ~ <br />MA <br />c <br />Y <br />, <br />Denver, Colorado 80203 - <br />Q/Yr ry <br />~ <br />i/ ~ <br />i a D I v I S l D N <br />7 <br />t <br />~ s ~aa •/ <br />~J~~ M 1 lV &R~4 <br />FAX <br />833 870b <br />303 ~/ner <br />a/ <br /> saa~ O <br />O <br /> Cep/oBy GEN I N <br />GM S <br />A F E <br />TRANSFER OF P ERb11T AND SUCCESSION OF OPERATORS eai ovens <br /> APPLICATION FORM t/ covemor <br /> Greg E. Walther <br /> Ezecmive Direcror <br /> Michael B. Long <br /> Division Direcror <br />The application for a Transfer of Peanit and Succession of Operators must contain four (4) major parts: 1) 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 />I. - FINANCIAL WARRAuNTY INFORMATION (Chops ONE Option): <br />1. Q,ption A: I wish to WATVE MY RIGHT to a 30-day processing tune to allow <br />(Initial & Date) the Division of Minerals and Geology to reca]culate the Financial <br />Warranty requirements. If you choose Option A you shquld not submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements." <br />2. 0°tion B: S os-ot-o3I DO Iv'OT WISH TO WANE MY RIGHT to a 30-day processing <br />(Inrtta & Date) time. I hereby submit a replacement Financial Warranty for the same <br />" dollaz 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 NCREASED at that <br />time. As the new operator, I agree to be responsible for posting anv <br />required increase to the fmscial warranty for good cause sho~Yn, in a <br />form acceptable to the Board, within 60-days of such notice. <br />Nov = NoN~ <br />