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• STATE OF COLORADO <br />' DIVISION OF Ivi1NERALS AND GEOLOGY <br />Department of Natural Rew,uces R ECE t V E <br />1373 Sherman St, Room 27 5 C O L D RAD O <br />Denver, Colorado 80203 DIVISION O F <br />Phone: (303) 866.3567 MAY 2 7 2004 / M I N ES RA L S <br />FAX: (303) 832-8106 G E O L O G Y <br />Division of Minerals and GeolopY 0.ECLANATION•M,NING <br />SA FETY•SCIENC! <br />TRANSFER OF PERMIT' AND SUCCESSION OF OPERATORS 'r Bill Owens <br />APPLICATION FORM Covemor <br />Greg E. Walther <br />Executive Din'<tor <br />Ronald W. Canny <br />Division DireROr <br />Natural Resource Trustee <br />The application far a Transfer ofPermit and Succession of Operators must containfour (4) major parts: 1 } an Application Form; 2) an <br />ApplicatialFee; 3) aPerformance Warranty (attached as part of the ApplicationPackage)bearingthe originainotarizedsigaanae ofthe <br />Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized <br />sigaature. To expedite processing, please provide the information in the format aad order described below. <br />Permit #: M-1994-096 Confidential?: N <br />Class: Revision Type/Seq.: SO-2 <br />From:- High Plains Sand and Gravel, LLC To: DMG <br />Doc. Name: SO James D. and Becky J. I{rakel to High <br />I. FINANCIALR'ARRANTY INFORMAITON (< Plains Sand and Gravel, LLC <br />Date: 05/27/2004 <br />.~ ~_j8.~ Specialist: ESC <br />__-___ 1.. on -- IwishtoVl <br />(initial c@ Date) Division of Minerals and Geology to recalculate the Financial Warranty <br />reglritements. If you choose Option A you should'4~ submit a Financial, <br />Wazranty and Perfortrlmce Warranty until the Division notifies you of the <br />ocrrer.4 amotmt of your warranty regtlirements.• <br />2.Ootion B: I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />(Initial & Date) hereby submit a replacemtatt Financial Warrardy for the same dollar amount as <br />the Financial Warrartty maintainedby the cruteat optaator. I+~~+~Ithatthe <br />Division of Mmerals end Geology w171 recalculate the required reclamation <br />bond within 60-days from the date that the transfer is completed and the <br />requited FINANCIAL WARRANTY COULD BE SL7BSTA_NTTATJT Y <br />J)VCREASID al that time. As the aew operator, I agree to be responsible for <br />posting mry required increase to the financial warranty for good cause shown, in <br />a fan acceptable to the Board, within 60-days of such notice. <br />AF ; ~l(i~((os <br />Nou : Ylone <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survry <br />