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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVED <br />Department of Natural Resources <br />1313 Sherman St., Room 215 -?- <br />AR <br />9 200? <br />Denver, Colorado 80203 ? <br />M <br />1 <br />Phone: t'303) 866-3567 },^? <br />wis" <br />FAX: (1303) 832-8106 <br />, Division 0 r4 <br />. Mining Zed 94" <br />p-[q-v--21S <br />TRANSFER OF PERTMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM c- <br />x--01 ?--- <br />Tg. Leo, <br />1?l?'? ?? c o aj'V'f <br />COLORADO <br />D f V 15 t 0 N, O F <br />RECLAMATION <br />MINING <br />SAF ETY <br />Bill Owens <br />Governor <br />Rueseil George <br />Executive Director <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />The application for aTransfer 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: 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 />M Ale ?-/ <br />2. Option B: X <br />(Initial & Date) <br />Initial Date <br />of the correct amount of your warranty requirements.* <br />I DO NOT WISH TO WAIVE MY Rf.GHT 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 Safety will recalculate the <br />required reclamation bond within 60-days from the date that the transfer is <br />completed and the required FINANCIAL WAKRAiN'TY COUIJ) <br />SUBSTANTIALI _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 Office of <br />Mined Land Redamation. Active and Inactive Mines.