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- i <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources , _ <br />1313 Sh <br />S <br />R <br />V ED <br />E? <br />erman <br />t., <br />oom 215 <br />`' '? <br />Denver, Colorado 80203 <br />. <br />.- C O L O RA D O <br />, <br />1 I , <br />Phone: (303) 866-3567 J? f 'JUN 0 4 2008 DIVISION O F <br />M I N E <br />RA L S <br />FAX: (303).832-8106 <br />L71?rIS10it Vi <br />01vd loci ter , c?t?iamation, <br />!aPd S013Yy <br />1lRir1ln ? <br />GEOLOGY <br />j <br /> <br />Niiniag acid Satety RECLAMATION-MINING <br />E <br /> <br />SAfETNC <br />Y <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS gill ovens <br />APPLICATION FORM Governor <br /> Greg E. Walcher <br />Sc) <br />?aA 1 ?' <br />? Executive Director <br />Ronald W. re <br />t <br />, <br />?Y c <br />Division Director <br />or <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) an <br />Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarize d signature of the <br />Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized <br />signature. To expedite processing, please provide the information in the format and order described below. <br />1. FINANCIAL WARRANTY INFORMATION {Choose ONE Option): <br />1.Oation A: I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) Division of Minerals and Geology to recalculate the Financial Warranty <br />requirements. If you choose Option A you should not submit a Financial. <br />Warranty and Performance Warranty until the Division notifies you of the <br />2. Option B: ? I 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 same dollar amount as <br />the Financial Warranty maintained by the current operator. I understandthat the <br />Division of Minerals and Geology will recalculate the required reclamation <br />bond within 60-days from the date that the transfer is completed and the <br />required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY <br />INCREASED at that time. As the new operator, I agree to be responsible for <br />posting any required increase to the financial warranty for good cause shown, in <br />a form acceptable to the Board, within 60-days of such notice. <br />Office of Office of <br />Mined Land Reclamation Active and Inactive Mines <br />AF 1,k- 911Z1ZCrg <br />Colorado <br />Geological Survey