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STATE OF COLORADO <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 L' <br />?Ip,R 1 ? 2008 <br />FEB 14 2000 <br />S s( 1-,L, ciamation, <br />COLO1tADO <br />D IV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />?) ' Division of Re Bill Chvens <br />,,n????npp and Satety Governor <br />TRANSFER OF PERMIT AND SUCCE400,, OF OPERATORS <br />Ica $10P?+ Russell George <br />Division p; g C cA c/ APPLICATION FORM t Executive Director <br />iinln{? 'an Ronald W. Cattany <br />Division Director <br />J ?ro i 0c - (?+Lbol, U1);- ect GSM Qnl-eS Natural Resource Trustee <br />. p i cl Cash <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the information in the format and order described below. <br />I. FINANCIAL WARRANTY LNFOMMATION (Choose ONE Option): <br />1. Option A: I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial Warranty and Performance Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* <br />2. Option B: -9 Q$ 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 tratasfer is <br />completed and the required F 1NNCIAL WAKRAN rY COULD BF <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 <br />Mined land Reclamation. <br />Office of <br />Active and Inadive Mines .