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<br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />F'~-~-b~{a. <br />(~;~ ~l3 ~ lasO°- <br />STATE OF COLORADO <br />RECEIl~'E® RECEIVED <br />I3I3 Sherman 51., Ronm ? 1 i .IUL 0 5 2002 2002 <br />Denver, ColomAu 80203 JUN Q 6 <br />Phnne: 13031866-3567 <br />rnx: Ilol; slz-alo6 Division of Minerals and Geol~~ision of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />Roy Romer <br />Governor <br />lames 5. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Perfott»ance 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 infomtation in the format <br />and order described below. <br />Permit#: -IQBt'-O o'L Confidentat?: l) <br />Class: Type-Seq.: SD- Z <br />From: To: 7r~t G <br />I. FINANCIAL WARRANTY INFORMATIOi` Doc. Na O <br />Doc, Date (if no date stamp): '-/ S~oSc <br />1.0 lion <br />(Initial & Date) <br />2.Option B: .CJ1 V 1 0~' <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 />I D~ NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />time. I hereby submit a replacement Financier( Warranty for the same <br />doilaz 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 FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator, [agree to be responsible for posting any <br />required increase to the financial warranty for goad cause shown, in a <br />form acceptable to the Boazd, within 60-days of such notice. <br />AF: alisle3 <br />Nod : N~xa. <br />