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<br />STATE OF COLORADO <br />DIVISION C>!E RECLAMATION, MINING ANt3 SAFETY REC~'v~ <br />Department of Natural Resources <br />1313 Sherman St., Room 215 MAR 19 ZOQ1 <br />~_ <br /> <br />Denver, Colorado 80203 1 <br />Phone; i303) 866-3:167 <br />v~tsf~l'~s <br />i <br />FAX: (3031 832-8106 on ~n r <br />Divis <br />'. Mininig ~~ ,.~ <br /> <br />T.RA:KSFER OF PERitiIIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM ~~ <br />~.~. ~~~ ~i ~`I ~ L~GL$1 flG ~ ~' <br />~_~1 '- <br />~ ~r~... )/-CO ~ ccJ~f <br />COLdR.ADO <br />otvr s rorr or <br />RECLAMATION <br />M11'JING <br />SA ETY <br />Silt C)wens <br />Governor <br />Rucseil George <br />Exec.iiio'e Director <br />Ronald 41/. Caftany <br />ptvision Directcr <br />Natural Resource Trustee <br />The application for a'Transfer of Permit and Succession of Operators must contain four (4) major parts: 1 } an Application Form; 2) <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide th.e information in the format and order described below, <br />I. FINANCIAL WARRANTY INFORiVIATION (Choose ONE Oti7tion): <br />1. Option A: _____~_ I wish to WAIVE MY KIGIIT to a 3U-day processing time to allow the <br />(initial & Date) Division of Reclamation, iNlining and Safety to recalculate the :Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial Warranty and Performance Warranty until. the Division notifies you <br />of the correct amount of your warranty requirements.* <br />n xu~ 3"l y `t~~ <br />2. Option B: X ___ <br />(initial & Date) <br />Initial Date <br />I DO NOT WISH'I'O WAIVE MY KLGHT to a 30-day processing time. I <br />hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Warranty maintained by the current operator. I understand <br />that the Division of Reclamation, ~3ining and Safety will recalculate the <br />required reclamation. bond within. GO-da.ys from the date that the trans#er is <br />completed and the required F1tiANCIAI., Vl-`AKRt1\"I'Y COL;`i_I)__T;I> <br />SCI3S'fA:ivTIALI.~' INCREASEn at that time. As the new operator, I agree <br />to be responsible for pos#irtg any required increase to th.e fnan.cial warranty <br />for good cause shown, in a form. acceptable to the Board, within GO-days of <br />such notice. <br />Office of -- _ _ Office of <br />Mined land Recaarnation. Active and inactive Mines <br />