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:~~ <br />r, <br />_~ ~ s ~ • <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl rn Natural Resources <br />I ; 13 Shciman Si . Ro..m ? 7 5 <br />~T A "]'"r ~r ~OLO~~O <br />III IIIIIIIIIIIII III <br />999 _ _ _IVED <br />Dem:~~r, Colnratlu 90.0] <br />F'hnne: Ilq}I A66-}567 ~ ~aPProyed <br />FAX: 130 i~BL'.g 1116 ~/Z <br />DEC 0 1 2000 <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />~~ <br />DEPARTMENT (7i <br />NATURAL <br />RESOURCE <br />Roy Romer <br />Cmemor <br />dames 5. Lochhearl <br />Executive Director <br />Michael 6. Long <br />DiN$IOn Director <br />The application for a Transfer of Pemut and Succession of Operators must contain four (4) major parts: 1) an Application <br />Fonn; 2) an Application Fee; 3) a Performance Warartty (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 />I. FINANCIAL R'ARRANTY INFORMATION (Choose ONE Option): <br />1. ODtiOD A: <br />(Initial & Date) <br />1 wish to WAIVE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. <br />~L. ODhOD B: ~ ~~ <br />(Initial R Date) <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. 1 hereby submit a replacement Financial Waranty 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 will <br />recalculate the required reclamation bond within 60-days from the date <br />that the transfer is completed and the required FRJANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, I agree to be responsible for posting any <br />required increase to the financial warranty for good cause shown, in a <br />form acceptable to the Board, within ti0-days of such notice. <br />NDv - S -2.z-~~ <br />~~I- I~qS-0~ l <br />