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~rar l•' ~Uuxcrd Q-cLt~cn ~- ~c / Sb - ~- '~ m I~~goz1 ~ STATE OF COLORADO ~ DIVISION OE MINERALS AND GEOLOGY Uepartmern of NaWral Resources 1313 Sherman SL, Ronm 21 i Denver, Colorado 80203 Phone: 13031 866-3561 FAX: 13031 832-8106 RECEIVED ~: I I DEPARTMENT Of NATURAL 1 RESOURCES MAY 2 9 2003 _ Division ~f Minerals and Geology TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM '~ Ruy Romer Governor lames 5. Lochhead Executive Director Michael 9. Long Division Director The application for a Transfer of Pemvt and Succession of Operators must contain four (4) major parts: 1) an Application Form; 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. L FINANCIAL R'ARRANTY INFORMATION (Choose ONE Option): Ootion A:5 27 03 'sh to WAIVE MY RIGHT to a 30-day processing time to allow (Initial & Date the Division of Minerals and Geology to recalculate the Financial Warranty requirements. 2. Ootioo B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing (Initial & Date) 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, I agree to be responsible for posting any required increase to the financial warranty for good cause shown, in a form acceptable to the Board, within b0-days of such notice. N pV= NONE RF = ~(Z~ (c~3