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M-I~~"O-DO3 <br />STATE C)F CQLC~RADO <br />DIVISION OF MINERALS AND GEOLOGY <br />DeOartment of Natural Resources RECEIVE D <br />1313 Sherman 5[., Room 215 C O L O RA D O <br />Denver, Colorado 80203 o t v 1 S t o N o r <br />Phone: (3037 8663567 DEC 0 9 2004 MIN &RA L S <br /> <br />FAX:13037 832-8106 G~ O L O~ Y <br /> Division ~I Minerals and Geology 0.EClANATION~NrNING <br />' Bill Owens <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Governor <br />APPLICATION FORM Russell George <br />Ezecutive nlfe[10r <br />Ronald W. Cottony <br />Division Oirettot <br />Natural Resource Trustee <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) majorparts: I) an Application Fomt; 2) <br />an Application Fee; 3) a Performance 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 by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the information in the formal and order descn'bed below. <br />Permit p: M-198(1.0(13 Confidential'!: N <br />Class: Revision TypelSeq.: SO-3 <br />From: Quarter Circle 8 LLLP TO: DMG <br />Doc. Name: SO Gary K and Sarah L. McNulty [o Quarter Circle <br />I. FINANCIAL WARRANTY INFORMATIQ g L~,p <br />Date: 12!09!1004 <br />Q / ~ Specialist: SS5IBDC <br />1. do A: /, ~ ~alaioy Iwiahl <br />(initial & Date) Division of Mmerats anu ~acsr,vKy .., ,....a.~...~..,. ,,.,, ..._.__._ .. ____ , <br />requuements. If you choose Option A you should not subtrtit a Financial <br />Warranty and Performance Warranty until the Division notifies you of the <br />correct amount of your warranty requiremenLS.* <br />2.Ontion B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing tune. I <br />{Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Warranty nrainmined by the tlurent operator. I understand <br />that the Division of Minerals and Geology will recalculate the required <br />reclamation bond within 60-days from the date that the transfer is completed <br />and the required FINANCIAL WARRANTY COULD BE <br />SUBSTANTIALLY INCREASED at that time. As the new operator, I agree <br />to be responsible for posting any required increase to the financial warranty <br />for good cause shown, in a form acceptable to the Boazd, within 60-days of <br />such notice. <br />//~0 l~s = NiaN/ v` <br />~'T ~ ~ ~ ~ ! Z ~ /BOOS <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />