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i <br /> <br />M 9sb- <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />D.pann?yir of N.?tur•.I Re?sourc?°s ? ?? <br />i c,l r >>,m `it Roane 21; <br />C O L O R A D O <br />ik t ttv ( N?)t f10)Od D I V I S I O N () I <br />P h not 1"i1 (i61 1sG7 RECLAMATION <br />FAX W-3 rt_-bile; MINING <br /> SAFETY <br /> <br />RECEIVED <br />2; Did Cr,rns <br /> <br />o,ror <br />TRANSFER OF Y;2bllT AND SUCCESSION OF OT:I24fO <br /> <br /> <br /> <br />?? <br />APPLICATION FORM <br />t1?$ <br />P U <br /> <br />Erin Dive Uirr-c,?;r <br />A <br />/? /yam ?? <br />- <br />f /T c Ronald W. Crar.wv <br />n Dm <br />ctor <br />_ <br />eolamatlon' % <br />f <br />& Natural <br />Resource <br />Trustee <br />( <br />L <br />pivision lning o <br />and s810ty ( ?"?,,( M <br /> <br />I,he application for a "Transfer of Perulit and Successi0rl of Operators must contain tbUr ('4) major parts: I) an Application Form; 2) <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package:) bea ring the original notarized <br />sll;natut c of the Successor Operator; and 'I) a replacement Financial WatTanty provided by the Succ essor Operator, bearing an <br />m igginal notarized signature. 'Vo expedite processing, please provide the information in the format an d order described below. <br />1. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. 1 %vish to ?VAIVF \ MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) Division of Reclamation; Minim-) and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial Warranty and Perfomiance Warranty until the. Division notifies you <br />of the correct amount ofyour warranty requirements.* <br />2. Option 13: I DO NOT WISH TO WAIVE VIl' R.WilIT to a 30-clav processing time. I <br />,rtr°nt Financial Warranty for the same dollar amount <br />?• - <br />(I itial hereby submit a replace ( - <br />n ?? DatO <br />as the Financial Wananty mraintaincd by the cun•ent opciator. I understand <br />that the Division of Reclamation. Mining and Safety will recalculate 'the <br />required rrelamation bond within 00-days from the (late that the transteI is <br />completed and the required HIN-AN'(_IA1 yVA)ZRANTY_ COUI,-D__Itt_ <br />SC!Hti 1_:AV'I L\I L,l_ 1\C'Rl???5[, _D al that time. As the new ope-rator. 1 agree <br />to be rrsponsible for posting any required increase to the financial warranty <br />I-or good cause shown, in a form acceptable to the Board, within 60-days of <br />such notice. <br />uiod I.uul i.rrl,ui ,II ur Active and InacUv(: Nl n,4