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<br /> <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY ??C^CGVG'"?D <br />Department of Natural Resources ??ej(?GI Y <br />1313 Sherman St., Room 215 !I n <br />Denver, Colorado 80203203 <br />Phone: 303) 866-35567 <br />FAX: (303) 832-8106 <br /> <br />0 ? 12.001 <br />eeiamation, <br />Division ning a d Safely <br />OCT 012001 <br />Division ofa d Sa ety n, <br />Mining <br />N $ tiO? TRANSFER OF PERMIT Al D SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />n of S el°?° ? <br />J o and <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: -? ep D wish to GVAI V E i??Y RIG}IT to a 30-day processing time to allow the <br />(Initial & Da etet 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. 1. 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 FINANCiAI__`=_WAK?h''I'Y COUL:I?_RI <br />SUIiSTAN'I'IAI _Y 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 />Office of <br />Mined Land Reclamation. <br />Ott, <br />lVo V - IVVAI,C? <br />oms <br />o <br />/je-Z <br />Office of <br />Active and Inactive Mines . <br />COLORADO <br />D I V 1 5 1 0 N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />Bl?i OV:enS <br />Governor <br />Russe!I George <br />Executive Director <br />Ronald W. Cottony <br />Division Director <br />Natural Resource Trustee