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STATE OF COLORADO <br />------ ---- - -- ----- <br />UIVISI(TN )I RECLAMATION, MINING AND SAFETY <br />t?r?7r.rh1L'Ill m n',,torc l R(•,ourr-i's <br />t3? i tii,r-ml,ut St., koon :11 <br />De n or C O L D R. A L O <br />0 11 <br />n(, .s!::s tsar,-;56: RICCAMATION <br />MINING <br />A,v: : B324t101, - <br />SAFETY <br />RECEIVED Dot <br />Grerrnor <br />APR 2 3 2008 TRANSFER OF PERAUT AND S[CCESSION OF OPERATORS <br />Ru,-il C ri._,(, <br />APPLICATION FORM .niuF r['or <br />Division of Reclamation \y, <br />Mining and Safety Dm i n, oirrrctor <br />- C1E.'11:P??? ? ?r1 c ?tr? k(.,?,r?(• Tr???,,f. <br />1f11c applic,ltion fir a Transfer ot'Permit and SUCCCSSion of Operators must contain four (4) major parts: I ) an Application Form; 2) <br />an ;Applicatioti Fcc; 3) a Pci-formancc 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 />m iomal notarized signature. To expe=dite processing, please provide the information in the format and order described below-. <br />1. FINANCLAL WARRANTY INFORMATION (Choose ONE Option): <br />1. Option A: I wish to ?VAiVIiMY RICII,IT to a 30-day processing time tri allow the <br />(Initial & Date) Division of Reclamation. Mining and Safety to recalculate the Financial <br />Wairanty rcquirement:s. If you choose Option A you should not subnut a <br />Financial Warranty and Perfomiance Warranty until the Division notifies you <br />of the correct amount of your warranty rr.cluirements.* <br />1 Option B: Vt U I DO N OT WISH TQ WiAIVE MY RI(_il Ff to a 30-day processing time. I <br />& Datc) hereby submit a replacement Financial l?? ar anty for the same dollar amount <br />as the. Financial Warranty maintained by the current operator. I understand <br />that the Division of Reclamation, ?lininL and Safety will rcc:alculatc the <br />required reelamation bond within 60-days from the date that the transfer is <br />compIcIml and the recluilcd FI\ A-M.] L. \1`/\IZR \\1:1"_ ('01.1,1) BF <br />Sl.?'B`,1_?'?_I_ I,A1 I ZIti(`RE;YS[_T) ut Ihat tirrtc.. ,As the new opc-rator, [agree <br />to be responsible liar postin,,; ally required increase to the financial wat-anty <br />for !mod cause shown. in a form acceptable to the Board, within 60-days of <br />such notice. <br />i?lltir?.•,?i <br />A.linrri Land Itr?r,u;i,i?iun <br />14 <br />Olficv of <br />Active: dad Irtcu:Yive? ;14inr?