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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />J <br />, <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 V` ?{/? q X711 <br />FXi ZA(3S8 -810E <br />Q ( C.? <br />cO, <br />, <br />10 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />COLORADO <br />D I V I S I O N OF <br />RECLAMATION <br />MINING <br />SAF ETY <br />Bill Ritter, Jr. <br />Governor <br />Hams D. Sherman <br />Executive Director <br />Ronald W. Canary <br />, I Dlvision Director <br />Y ?? I? L • ??? Vt /1110" niatura4 Rewurce Trustee <br />rr-OlkaoQ 5w <br />ef? ?o <br />colmw s l <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.O tip on A: <br />(Initial & Date) <br />2 do B: q-11-0,f <br />(m?min/vitial 8c 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 />I DO NOT WISH TO WAIVE . 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-clays from the date that the trarisfer is <br />completed and the required fnE'ANCLAt._Vv'ARffANT?' CEJULD BE <br />5UBSTANT1ALLY INCREASED at that time. As the new operator, l 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 />Office of Office of <br />Mined Lend Redarnation Denver • Grand )unction a Durango Active and Inactive Mines