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STATE OF COLOFADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br /> <br /> to -oa' <br /> <br /> <br /> 14: <br />i •i,; , ? <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />COLORADO <br />D I V I S I O N o I: <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, )r. <br />Governor <br />Harris D. 5her:Mn <br />(XCCutis,e Director <br />Ror:.ald VV. cattariv <br />DMsion-Direcior <br />Natural' Resource 1'rusrt e <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 />FINANCIAL WARRANTY INFORMATION (Choose ONE Ontion): <br />1. Oa#lOn A: ?k Im I 1 '89 <br />I wish to WAIVE MY RIGHT to a 30-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.Ontlon 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, 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 <br />&R-5;t.:A,N I°IY: VNKX1iA-SEj? at that tithe. As the new operator, J. 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 ._................ .........-.-......-..-------- ----- <br />Mined Land Reclamation Office of <br />Denver - (;;rand Junction - Durango Active and Inactive Mines