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<br />STATE OF COLORADO <br />DIVISION Of RECI.AMADO-N, MINING AND SAFE(Y <br />tai-tr.;EtEr;et;' CN tia?uta;! Kt;soFi:,'trs q ?,?. <br />1313 S}terv?}ao Si.. Roan, 215 @ Em <br />tY n?er, CrAnrarla F•4=f1) -t`f" COLORADO <br />Nhon"': (AY41 P,bii 3,i&% <br />10\ )JUL 2 200U D 1 Y 1 S I C7 N (.) F <br />RECLAMATION <br />FAX: 10:3t 3 <-b1;)6 <br />Su MINING <br />Division of i-<#:ciamation, ° & - <br />Mining and Safety SAFETY <br />$i;i <br />C;,u... _, <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS N.,E!i, R S:*-n; <br />[);fK:LtEitiB iJirE,L?.O: <br />Arr. L tCATION FORM. <br />Kr?raid t1'. C;n,anv <br />Uiva?cn ,_?irrvyGr <br />;tiic3lv;F;S Rest: u. .4! irl>'.t[r. <br />The appl ication for a Transfer- of Permit and Succession, of Operators must contain four (4) maior parts: 1) an Application Form, ?) <br />an Application Fee, 3) a Performance Warranty (attached as part of the Application. Package) bearing the original notarized <br />signature of die Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the information in the format and order described below. <br />I. 1E<INANCLAL WARRANTY" I EQRMAIION (Choose ON)F Option): <br />I. Otitio tom; 1 wish to b4'A1 VE Ivry RtoHT to a 30-day processing time to allow the <br />(initial & Date) Divisiun of Reclamation, }tinning and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Finan.c.ial Warranty and Performance Warranty until the Division notifies you <br />of the correct amount of your' warranty requirements.* <br />' Lion R: z'-.' pB 1 DO NOT_WISH_TO WAIVE MY RIGHT to a 30-day processing time. I <br />(l.ritial & Date) hereby submit a replacement Financial Warranty for the sane dollar' amount <br />as the Financial Warranty maintained by the current operator. 1 understand <br />that, tltcs €)iv.isisrn of Reclamation, k1 .ilag acrd Safe mill recalculate the <br />required Y?:'??T1d?;C?ft bond withir, 6'0-'dais fr?m! the d'3'e Thm.. <h 1T' e? <br />s.: s_y <br />dCriI ret}uired f'Np lk'i: i._.WARRANTY _.-_, rUl-D BE <br />`:j.•j,;,1LL1 YL'Nif^,?1r:L)lit that time, As the new opci?tiff,).rrgr-?e <br />to be r#'.SI'+s"if`,Si li,: for <br />W-KITig all-" `Y.t1ikFI£; im-"va-Qu :o the iiirancial xarranty <br />for good cause shod ii, in a form acceptable to the Board, within 60-days of <br />off eft of <br />t1irec L:;nd Re(. Ii"Mie; rm <br />such notice. <br />7 _/7 <br />1 Y5??Oor2 <br />Chi*icr of <br />L.Fer;ver G;;1r;et ;ugCtii:m C}l:r?:,t,r, ,=.t::i?'r-..gt?i? H?!itYYC; h1fnF:?.