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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Nature! Resourt'es <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />done: (303) 866-.3667 <br />FAX: (303) 832-81,06 <br />STATE OF COLORADO <br />r L, COLORADO <br />ptV i510N of <br />RECLAMATION <br />M,INING'. <br />_ 6 - <br />SAFETY <br />8i11 Ritter, Jr. <br />Gn, ernO r <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Narr's D. Sharman <br />APPLICATION FORM Executive Director <br />Ronald W. Cattany <br />Division Direoor <br />Natural ReSOLOC.e must-c- <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) 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 the format and order described below. <br />1. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. Option A: <br />(Initial & Date) <br />2. Option 13: <br />(initial & Date) <br />I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />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 Warranty and Performance Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* <br />DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />hereby submit a replacement Financial. Warranty for the same dollar amount <br />as the Financial Warranty 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 date that the transfer is <br />completed and the required FTItifA.R't;_I,}Y: ?`1Zft,f; ?N_I'Y_.CC;tLILD._ BE <br />SLJ13 ! ? i'I`I(1I.;I..Y i^2vC lzFASEID at that time. As the new operator, I agree <br />to be responsible for posting any required increase to the financial warranty <br />for good cause shown, in a form acceptable to the Board, within 60-days of <br />such notice. <br />(:)fsie:e of - _............. .....- --------- - ..............__ _ <br />(:office. <br />Mined Lenu1 Rer. iamation of <br />Denver - Grand Junction - Durango .Ctivr. and Inactive rMines