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.r STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY Depanmem of Natural Resources 131 3 Sherman St., Room 215 Denver, Colorado 80203 Phone: (3031866-3567 FAX: (303) 832-8106 DECEIVED Skr ? 1999 •,,~cn ct M+nerab & Geology q Q~G ~cF~~FO DihSiDrj o~Mi~ra b' 19,99 ION OF OPE1~~0,~, APPLICATION FORM ~~ DEPARTMENT OF NATURAL RESOURCES Roy Romer Goverrwr lames S. LochheaA Executive Director M~thael 6. LO~g Dix ision Director The application for a Transfer of Pemut and Succession of Operators must contain four (4) major parts: 1) an Application Fonn; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format and order described below. I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): l . ODtioD A: TRANSFER OF PERMIT AND (Initial & Date) I wish to WAIVE MY RIGHT to a 30-day processing time to allow the Division of Minerals and Geology to recalculate the Financial Warranty requirements. ~. ODtiOn B: (Initial & Date) I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I hereby submit a replacement Financial Warranty for the same dollar amount as the Financial Warranty maintained by the current operator. I understand that the Division of Minerals and Geology will recalculate the required reclamation bond within 60-days from the date that the transfer is completed and the required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY INCREASED at that time. As the new operator, 1 agree to be responsible for posting any required increase to the financial warranty for good cause shown, in a form acceptable to the Boazd, within 60-days of such notice. x,