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Y <br />SO-O(.. <br />#1~~~ I <br /> STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department ar Natural Resources - RECE! V~p <br />131) Sherman St., Room ?15 <br />Denver, Colorado 80?03 <br />Phone: 1303) 8b6-3ib7 C ,v,~o~ <br />APR 0 J [J D I v 1 5 I O u c <br /> <br />M [ N E RA L <br />FAX: (303)83?-8706 Division of Minerals and Geology G E O L O G - <br /> 0.EC LAM ATICr <br />MIN ING•SAFET <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS ein Owens <br /> APPLICATION FORM covemor <br />Greg E. wakhe* <br /> Executive Director <br /> Michael B. Long <br /> Division Director <br />The application for a Transfer of Pemut and Succession of Operators must contain four (4) major parts: I) an Application <br />Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signatwe 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 #: M-1446 -d44 Confidental?: N <br />Class: RGJ~Stov. Type-Seq.:SO-nl <br />From: ~verisf F'Irt~eria.C3 t1C. To: "Dt'>1G <br />Doc. Name: SO C.. 6.Ederr6f~'nc -loEv«(s+MaiutaL+ <br />I. FINANCIAL WARRANTY INFORMt1TI1 Doc. Date (it no date stamp):'il5loa <br />1. Option A: I wish to WANE 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. ffyou choose Option A you should n~-t submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the cornet amount of your warranty requirements.' <br />2. n B: ~Z-~2 I DO NOT WISH TO WANE MY RIGHT to a 30-day praessing <br />(Initial & Date) time. I hereby submit a replacement Financial Warranty for the same <br />- dollaz 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, I agree to be responsible for posting any <br />required increase to the fm;u:cial warranty for good cause shown; in a <br />form acceptable to the Eaazd, within 60-days of such notice. <br />ti1b~ =-Nb~ <br />~:~. = ~212o I nz <br />