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;a <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 ????\V/?D <br />Denver, Colorado 80203 <br />Phone: 1303? 866-3567 <br />FAX: t303i 832-8106 14 2004 <br />sss, c??`' FEB fLD lJ <br />Division of Reclamation. <br />Mining and Safety <br />OAR TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />C0L.OR.AD0 <br />D IV IS I ON OF <br />RECLAMATION <br />MINING <br />SA ETY <br />Bill Owens <br />Governor <br />jGma4ion, Russell George <br />Ojvision o' fi and gafe4y APPLICATION FORM Ekecutive Director <br />Mining an Ronald W. Cattanv <br />Division Director <br />Dldeus Ie SW ??.?,0, I-,c.ol? un?i-ed C?? pCc 11?/ .tura5?`7ru?e'1 <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 WARRANTY INFORMATION (Choose ONE Option): <br />1. Option A: <br />(Initial & Date) <br />2. Option B: & <br />(initial & 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 MY 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 Saf;.xy will recalculate the <br />required reclamation. bond within 60-days from the date that the transfer is <br />completed and the required FINANCIAL WARRANTY COLI..D._I3L; <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 />Office of Office of <br />Mined land Reclamation, Active and Inactive Mines .