2009-01-14_REVISION - M1977205

• Permit No: M1977205
• IBM Index Class Name: REVISION
• Doc Date: 1/14/2009
• Doc Name: SO application form
• From: Oldcastle SW Group, Inc. dba United Companies of Mesa County
• To: DRMS
• Type & Sequence: SO2
• Email Name: THM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Depamnent of Natural ResourcE;,ms
131:3 Stte.rman St., Room 215
Denver, t;oiorado 8020:3
Phone: (3038,66-3567 FAX: !1.303183 2-8106
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APPLICATION FORM.
COLORADO
D( V i S t 0 4 () F
RECLAMATION
MINING
SAFETY
sal Ritt?:-r,
cloverttor
Exercui;ve IDirEctor
Ronald VVCanary
r7iyisirr. D}rector
Natural Resource. Tntoee:
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The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2)
an Application. Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized
signature of the Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing an
original notarized signature- To expedite processing, please provide the information in the format and order described below.
1. FINANCIAL WARRANTY INFORMATION (Choose ONE Option):
1. Option A: I wish to WAIVE MY RIGHT to a 30-day processing time to allow the
(Initial & Date) Division of Reclamation, Mining and Safety to recalculate the Financial
Warranty requirements. If you choose Option A you should not submit a
Financial Warranty and Performance Warranty until the Division notifies you
of the correct amount of your warranty requirements.*
2. Option B:
(Initial & Date)
RECEIVED
JAN 14 2009 c---'
Division of Reclamation,
,rJ: Mining and Safety L,,--"
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS
1. DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I
hereby submit a replacement Financial Warranty for the same dollar amount
as the Financial Warranty, maintained by the current operator. I. understand
that the Division of R.ecl.antati.on, Mining and Safety will recalculate the
required reclamation bond within 60-days from the date that: the transfer is
c: rnpleted and the required 4`ARR.r ? `l`Y COULD BE
S.L."B S; ANTI. M.,LY:I.NC .RE SED at that: th.pe.. As the new operator, l agree
to be responsible for posting any required increase to the financial warranty
for good cause shoNAn, in a form acceptable to the Board, within 60-days of
such notice.
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