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• STATE OF COLORADO <br />DtY1510N OF MINERALS AND GEOLOGY <br />Depsrtrtlmq d Natural aalokkrce! <br />,,,, Si,en,ran SL, ttoan 2,s RECEl~/Ep COLO RADI <br />~~ ~dy~oe0p~ DIV IatON O <br />p~ ~~ g~,j~~ MIN RA L <br />FAX t~3, a32$,ot; AUG 0 3 2~6 c >r o o c <br />a[CLAMATIOM•MINIM <br />fA,l TT4grNG! <br />Uirisien of Minerals and GeoloBY <br />TRANSFER OP PERMfP AND SIICCESSION OP OPERATORS sin Owens <br />Govenw <br />APPIdCATiON FORM a~ ~' <br />E>ncWw Daeaa <br />aomtd W. parr <br />OMsian tsiRmr <br />Wrud tlyolNre tneaee <br />TilaJarar Aar bear bP d~a binmd Land Rarlarraa,w Boardpwraaartt, roe0ians 34-31777, CRS, ojtlYe Afuead lewd <br />RadmwldbwAdmrd3i31S117.ORS, oftiaCabsadolatad ReaOawaebsrAdferdreEabm7iar ofCoastYSrmiow bfi Awy <br />ol4vatlow a~dmbn ~dlbJorwr, +alAwrCaFpe~awlbjdkeBadrd~a9renAtin dFsJSrarde<lwvssr[ybes~itMSidawJ~i'ir <br />alYa roi$wa oJaagpawrttt b~ 3e ea¢nwriow rsrAt aawi iwwr8dfbrawcil twrrmr[y and swbja,t W apaster to aa:e awl dat+t <br />walstmaddr6pawldojarapsabf~>ridbotdapawdtpusat~mtevSars34~33377$ GB.S. of8edlbraOLaedRadanatiarAo <br />awd3F333-173. CR+C. ofdFe Cofardo Lard RedaaaBan Alfa rke F.rbadiar ajCaubar#ew MaMriab. <br />The npplica6an fa a Tre»sfa of Permit and Suocesdm of Operates must curtain Sac (a) maje pe=ts: I) an Applicatim Falm; 2) eD <br />Appliee<im Fer, 3) a Pafemance Wartamy (egtached as part otthe Apphceriet Package) beating the eigiml notarised sigusftttc a£the <br />soot Gpcator; and, 4) a replacement FinaDkaal Warrawtyprovidad bythe SttaYSSOr Operate; beermg tm origioelnomriasds~ea,c. <br />To et~edita proasviog, please provide the iDfarroetion in the fomtat akd ceder desvibad bleu. <br />1. ~~: <br />(Initial & Dle) <br />I wish m WANE MY RIGHT m a 30-day prooeasmg time fo ,lbw the <br />Division of Mmerals and Geology m recaladate the Fittamisl warsmtp <br />tegtm~etmnts. I1•you choose Optiw A you should~q submit s Fioi®cial Wmrsaty <br />eiDd Pedmttenx Wamttty u~7 ~e Division aatilia you ofthe retract emouae of <br />yore wmrmty taquvrmems' <br />2. <br />(IDitial $ Date) <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day pnoDessiDg GDa, I <br />hereby ~ubmitateplaornomtFmeacial WarradyfarthesemadolLramouwtasrhe <br />Finar>dal warrmdy meintaitted by the ctcreat operator. I uodtastand that the <br />Dividan ~ Mimals etd Geology will recelwlete the regtrired reclamation bawd <br />witbiu 60•deya from the date that the traaafc is oo¢g~kled eod the rekpraed <br />FINAi~'LAi. W Nt•V COCn17 BB SI tIaSTAtSRAT.T.Y TN[`RFeSFr7 al <br />that time As the Itew operator. [ agree to be Icspoosible fe posting my regaitcd <br />itskzrase m thefrrreDCial warraffiy for good cause shown, iv afotm acceptable tothe <br />Board, withiD 60-drys of such mtiee. <br />ONke d Oltfa d Cdondo <br />Mined land Recltrradon Alive and trsxtive Mines Geobgfral Survey <br />