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} ~. <br />~- w <br />DtY1StON OF )~ECtAMATtON, MINING AND SAFETY <br />UepaRmertt of hiatura! Resources <br />1373 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 1,303) 866-3567 <br />FAX: {303) 632-8106 <br /> <br />STATE OF COLORADO <br /> <br />JAN 0 4 2008 c~ <br />Division of Keciamation, <br />-~~ Mining and Safet3r ~ <br />CO L(3RAD0 <br />D! V t 5 t O N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />,/ Bin Owens <br />V ~. ! e ~! Q~~ Governor <br />C_" TRANSFER OF PERMIT AND SiICCESSION OF OPERATORS Russell Ceorge <br />APPLICATION FORM / Executive Director <br />T Ronald W. Cattarsy <br />5~ _ (~) (~ , Division Director <br />natural Resource Trustee <br />'- ~ 5 5' ~~ 6~ r~.-i1C' ~ ~ ~X CC~uI cx~'~ufl ~/- <br />The application for a Transfer of Permit and Succession of Operators mast contain four {4) rt~jor parts: i) 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 the information in fire format and order described below. <br />I, FINANCIAL WARRANTY ItyFORM.ATION_(Choose ONE Option}: <br />I.O i n A: l ~ ~y"d ~ I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />t (Initial & Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial W arranty and Perforrr~rice Warranty until the Division notifies you <br />of tine correct amount of your warranty requirements <br />2.O_,,,ption B: 1 DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time• I <br />(Initial & Date) hereby submit a replacement Financial Warranty for the saute dollar arrrotmt <br />as rite Financial VV'arranty maintained by the current operator. I understand <br />that the Division of Reclamation, Mining and Safety will recalculate the <br />required reclamation bond within 60-days from the daft that the transfer is <br />completed and the required FINANCIAL WARRANTY COULD BE <br />SL'BST~INTIALLY INCREASED at that tiale. As the new operator, i agree <br />to be responsible for posting any requited increase to the financial warranty <br />for good cause shown, in a form acceptable to the Board, within 60-days of <br />such notice, n ~ <br />~ ,C9-~1 = 3111 ~~ c~ ~ ~ <br />office of <br />ptfice of Active and tractive Mines . <br />Mined land Reclamation. <br />