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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY c Il l - j L 7_ D?ii1 <br />Department of Natural Resources / 7 <br />31.3 Sherman St., Room 21 S <br />Denver; Colorado 80203 ? l n <br />Phone: (303) 866-"567 0'03 ?LC r <br />FAX: (303) 8312-8106 <br />-5 SS IJUL 2 2 200 `? <br />Divisioni o,, hz;u!;:,mation, <br />Mining and Safety <br />l <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />r4c,AIIJAI ?jf ?Ck 5 ? <br />COLORADO <br />D I 4 S S 1 0 N 0 r <br />RECLAMATION <br />MINING <br />SAFETY <br />8i1, Rawl', jr. <br />G %r .rw)r <br />HWrFi.=' D. Snenmas, <br />Exocut;ve Director <br />Rr;natd 0'1. camjc'y <br />Division Director <br />1a,ral Resource .t rmjee <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 /> <br />1. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. Option A: Q, 6 3OJ2-&49g1 wish to (WAIVE MY RIGHT to a330-day processing time to allow the <br />(Initial & Date) 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 />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 <br />as the Financial Warranty maintained by the current operator. I understand <br />that the Division of Reclamation, Minirw and Safety will recalculate the <br />required reclamation bond within 60-days ft am the ?-Iate thm the transfer ig <br />;Completed and ;.he required FENAN CIA(.. WARI,,ANTY C°€1Lr-'LI: RE <br />SUBS;FA_v't'1ALI..Y INCREASED. at Oat time, As the rtes operator, I agree <br />to be responsible for posting anti- 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 />Office -:f <br />.Milled land Redamrr Tit:)li Denver » Grand Junction e r3urarg0 <br />/VOV_ /J/ w P <br />t&41- '??X?IR 60? <br />Off c" of <br />Acme and inactive Mines