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t • ' ~ III IIIIIIIII'lll III . <br /> <br /> STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of ~~'awral Resources <br />1313 Sh <br />?I i <br />i <br />R RECEIVE® <br />erman <br />oom <br />t . DI`/IS IO.N O: <br />Denver, Colorado 80303 <br /> <br />Phone: (3031 866-3i6i <br />FAQ: 130]1 83?8106 <br />MAR 2 0.1001 MINERAL S <br /> <br />& <br /> ' GEOLOGY <br /> Diriaian of Minerals and heal <br />aBY a E c L A n A r I o N <br />MININ G•SAFETY <br />TRANSFER OF P ERMIT AND SUCCESSION OF OPERATORS <br /> all owent <br /> cu~ernor <br /> APPLICATION FORM <br /> Greg E. Walther <br /> Execunre Direnor <br /> michael B. Long <br /> Dmnlon Direao. <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Forrn: 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 />/L1-/44s~-Da ~ <br />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Option). <br />1. lion A: I wish to WANE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date. the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. If you choose Option .4 you should not submit <br />a Financial Wartanrv and Performance Wartanty until the Division <br />notifies you of the correct amount of your warranty requirements. <br />2. lion B: X ~~ 3 tl'1 al I DO NOT WISH TO WANE MY RIGHT to a 30-dav processing <br />(Initial & Date) time. I hereby submit a replacement Financial Warranty for the same <br />- dollar amount as the Financial Warranty maintained by the current <br />operator. I understand that the Division of Minerals and Geology ~~ill <br />Q~O~ ,r DI recalculate the required reclamation bond within 60-days from [he date <br />O Q 5 `7 that the transfer is completed and the required FINANCIAL <br />sQ~ WARRANTY COULD BE SUBSTANTCALLY iNCRF.4SED at that <br />V time. As the new operator. I agree [o be responsible for posting any <br />required increase to the financial warranty for good cause sho«n, in a <br />form acceptable to the Eoard, within 60-da}'s of such notice. <br />