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~TATCCE O~ COLORADO <br />DNISION OE MENERALS AND GEOLOGY [l C i.~ ~Y ~~® <br />Ucoanmcni n; Natural Resources <br />' i I ~ inr~man 5... Ronr•• ]' S JUL 1 6 2002 <br />Drip ~~r CWnrada RD?Di <br />Vhnuc.~39}: Nbh-i56i <br />f.ar , ~~ i. n :'-" I oh Division of Minerals and Geology <br />DEPART;b(ENT C'" <br />NATURAi <br />RESOURCE <br />TRANSFER OF PERMIT .AND SUCCESSION OF OPERATORS <br />Roy Romer <br />APPLICATION FORM a^yernor <br />lames 5. W<hhead <br />Execuove Dnecror <br />Michael 8. 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 Performance Wananry (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 />Permit #:~/- 1977 _,3~__ Confidental?: ~_ <br />Class: ~UTA' Type-Seq.:,9O- ~'. <br />From: tts To: . <br />I. FINANCIAL WARRANTY INFORMATIOP Doc. Name: So !-o na,,.,.. f'kc Eo -1o(eim Cu3 L~ <br />Doc. Date (if no date stamp) 7 l ~o oa ' <br />1. Oxon A: I wish to W AIVE 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. <br />0 ~~ <br />2. <br />2. Option B: 3/27/02 `~ I DO NOT WISH TO WAIVE MY RIGHT to a 30-day 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 curent <br />operator. 1 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 i~ICREA D 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 [o the Board, within 60-days of such notice. <br />(~oV~ N~'~1E <br />/~F = io~~olv2 <br />