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.. ~. <br />~ i III IIIIIIIIIIIII III Permit Number <br />999 • M-74-Q15 <br />MAl' 21.1 1996 <br />TRANSFER OF PEkMIT~AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />The application for a Transfer of Permit and Succession of Operators mLSt contain four <br />(4) major parts: 1) an Application form; 2) an Application Fee; 3> a Performance <br />Warranty (attached as part of the Application Package> bearing the original notarized <br />signature of the Successor Operator; and, 4) a replacement Financial Warranty provided <br />by the Successor Operator, bearing an original notarized signature. Tc expedite <br />processing, please provide the information in the format and order described below. <br />- irt-7~{-0/~ <br />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): ner~p,~~ a7is <br />- ~~-~ <br />1. Option A: _ _ <br />(Initial & Date) <br />I wish to WAIVE MY RIGHT to a 30-day <br />processing time to allow the Division of <br />Minerals and Geology to recalculate the <br />Financial Warranty requirements. <br />2. Option B: ~ I DO NOT WISH TO WAIVE MY RIGHT to a <br />(Initial & Date? 30-day processing time. I iereby submit a <br />replacement Financial Warranty for the same <br />dollar amount as the Financial Warranty <br />maintained by the current operator. I <br />understand that the Division of Minerals and <br />Geology will recalculate th~a required <br />reclamation bond within 60-days from the <br />decision date and the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTI~~LLY INCREASED at <br />that time. As the new operiitor, I agree to <br />be responsible for posting ;iny required <br />_ increase to the financial wiirranty for good <br />cause shown, in a form acceptable to the <br />Board, within 6C-days of such notice. <br />Lyons Pits - Rockin' WP <br />12-2525.1 <br />