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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman Room 215 DECEIVED COLOR <br />D <br /> <br />Denver, Colorado do 80203 O <br />A <br /> <br />Phone: (303) 866-3567 D I v 15 i o N o r <br />RECLAMATION <br />FAX: (303) 832-8106 <br />FEB 14 2008 <br />MINING <br /> <br /> Division of Reclamation SAFETY <br /> Mining and Safety -- <br /> Bill Owens <br />TRANSFER OF PE RMIT AND SUCCESSION OF OPERATORS Governor <br /> Russell George <br /> APPLICATION FORM EXecutive Director <br /> Ronald W. Cattany <br /> Division Director <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) <br />an Application Fec; 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: 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.Ootion B: . 5 2-$?po 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 FINANCIAL, WARRANTY COULD BE <br />SUBSTANTIALLY INCREASED 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 />u <br />Office of Office of <br />Mined Land Reclamation Active and Inactive Mines