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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department or Natural Resources RECEIVED <br />1313 Sherman Room 215 R E C E 1 VE- D Denver, Colorado o 80203 OCT 0 y ^ 2007 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 nrT 3 12007 Division of Reclamation, <br />Division of Reclamation, Mining and Safety <br />-1-b! Mining and Safety --? <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORNI ? <br />'SO -O ? t? <br />(.-) ? v Too x`4-2 c? - <br />COLORADO <br />D IV IS 1 D N OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Sill Owens <br />Governor <br />Russeil George <br />EXeCUlive Director <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />N1'- I qe) S - oq3 -? <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 />I FINANCIAL WA NTY INFORMATION (Choose ONE Option): <br />t. Option A: _ Nitial CAW I wish to WAIVE. MY RIGHT to a 30-day processing time to allow the <br />-- rrr 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 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 FIA;vC;IAT. WARRANTY COUI_13..i3_F.. <br />SUI3S`fAN T'IAI I. ' INCRIiASEn 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 />Office of <br />Active and Inactive Mines.