2002-03-19_REVISION - M1979205 (2)

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~~ ~. APPLICATION FORM RoY Romer Governor lames $. lochhearl Executive Director Michael B. LOng Division Director The application for a Transfer of Permit and Succession of Operators must contain f ur (4) major parts: 1) an Application Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the plication Package) bearing the original notarized signature of the Successor Operator, and, 4) a replacement Fin ial Warranty provided by the Successor Operator, bearing an original notarized signature. To expedite processing, ease provide the information in the format and order described below. , I. FINANCIAL R'ARRANTY INFORMATION STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY Department of Natural Resources 131 }Sherman 8t., Ronm 21 i Denver, ColomAu 80203 Phone: 1303) 966-3567 FAX: 130318}'1-BIQ6 I.Option A: RECEIVED FEB 2 0 2002 Uivisisn of Minerals and Gg TRANSFER OF PERNIIT AND SUCCESSION OF OPERA (Initial & Date) QZ^~ 2.Option B: ~._ , (Initial & I wish tq~VA_TVF MY RIGHT to a 30-day processing time to a(tow the t'v/isron of Minerals and Geology to recalculate the Financial Wg~ranty requirements. )Z I DO NOT WISH TO WAIVE MY RIGHT 4o a 30--day processing time. I hereby submit a replacement Financial Warranty for the same dollar amount as the Financial Warranty maintained by the current operator. I understand that the Division of Minerals and Geology will recalculate the required reclamation bond within 60-days from the date that the transfer is completed and the required FBI IANCfAL WARRANTY COUtD BE SUBSTANTIALLY INCREASED at that time. As the new operator, I agree to be responsible for posting any required increase to the financial warranty for good cause shown, in a form acceptable to the Boazd, within 60-days of such notice. - DEPARTMENT OF ~ NATURAL RESOURCE NOV = N~ ;~,F~- g~i~l~2