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j <br />T ? <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />STATE OF COLORADO <br />Department of Natural Resources / <br />1.313 Sherman St., Room 215 Cot) r L? <br />Denver, Colorado 80203 RECE Y ED iMCEMP <br />Phone: 1.303! 866-3567 <br />FAX: `303) 832-8106 FEB 0 2 2009 L--" JAN ? 5 2009 <br />Cr? W Division of Reclamation, owww of Ke?r <br />H-11 U L -pi antM and Safety L,,? Wl" OW Safe <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM L/ <br /> <br />COLORADO? <br />t)1 VI S 1 0 N 017 <br />RECLAMATION <br />MINING <br />SAFETY <br />Sill Ritter, jr. <br />Governor <br />Harris D. Shenna;i <br />Executive iirector <br />Kct' ald W. Ca!tany <br />Division Director <br />Natural Resource Trustee <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 Onti.on): <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: 84"- <br />(Initial & Date) <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 Safety will recalculate the <br />required reclamation bond within 60-days from the date that the transfer is <br />completed and the required .F€?d NCLAtq, WARRANTY-01 LD BE <br />SUBSTA?vTIAI. LY I_N-CREA ED at that time. As the new operator, l: 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 Denver • Grand Junction • Durango Active and Inactive Mines