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M- 197 - 007 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />[Nip.',t;i?,:nt n( N,,Imal kr,out(o; <br />1 3 ! i YN,r.ri,in St.. Room 21 <br />Oenm ,r, Cn nt'-idu 8,0203 <br />i'Itbrn'; ' f03 F3i?t,-"t?G <br />\X: W), 6324; 1 w, <br />RECEIvE® <br />?r ? <br />f? ai <br />C'OLO R.ADO <br />F) 1 v i S 1 o v u r <br />RECLAMATION <br />MINING <br />SA IET1' <br />p,PR 3 2008 `? D10 l O n; <br />eclarnat. 1011 'HIANSFNCR OF PER IFF AND SUCCESSION OF OPERATORS R(?jINIKI 0f a d Safety APPLICATION FORM L? r , un Di• rchx <br />M?n1n9 <br />l/t '?atur;il Resource T, ustoe <br />The appl ication fora 'Transfer of Permit and Successuril of Operators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fcc; 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 I"inancial Warranty provided by the Successor Operator, bearing an <br />otig.inal notarized signature. I'o expedite processing, please provide the information in the format and order described below. <br />I. FINANCIAL AYAI2I2ANTY INFORMATION (Choose. ONE Opti m): <br />1. Otrtion A: _ _-----.--,-__-_-- I wish to tiVAI.VF_ NIY RIGl1T to a 30-day processing time to allow the <br />(Initial &, Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br />Wamulty requirements. If you choose Option A yrou should not submit a <br />Financial Warranty and Performance WarrantY until the Division notifies you <br />of the correct amount of your vwarrauty requirements-* <br />2. Option 13: <br />(Initial ?? )ate) <br />'Amo l 'Ind ldni,.ilior; <br />1 DO NOT At%I5H 'f0 W.AI-VE ,Nll' lt1Gl_I I' to a 30-day processing time. 1 <br />hereby submit a replacement Financial Warranty for the satne dollar amount <br />as the. Financial «-ananty maintained by the current operator. I understand <br />that the Division of Reclamation. dining and Safety will recalculate the <br />required reclamation bond within 60-days from the date that the transfer is <br />completed and the required I:INAN(IIAL \VMWAN:IN COULD Rl- <br />SL 11S I AN'l I_ Al L Y INCR I_F.SLD at that timee As the new operator, 1 agree <br />to be responsible for posting any required increase to the financial warranty <br />the tzood cause shown. in a form acceptable to the Romd, within 60-days of <br />such notice. <br /> <br />office ,tf <br />Active ntul Ina?.ti.??• ?A-tine