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2000__ 050 1. <br />STATE OF COLOWDO <br />ION OF RECLAMATION, MINING AND SAFETY RECEIVED ? <br />Department of Natural Resources G <br />1313 Sherman St., Room 215 n COLORADO <br />IS I'D N <br />Denver, Colorado 80203 DIV r <br />FEB 0 9 2009 RECLAMATION <br />Phone: (303) 8663567 ? MINING <br />FAX: (303) 832-8106 ^?S Division of Reclamation, - S,L- <br />(1'1?1 Mining and Safety SA . iTY <br />r Jr. <br />Bill Q? Q TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Governor <br />C 11 ?AQ? APPLICATION FORM j? Harris D. Sherman <br />Executive Director <br />of Rr t "t??tion? Ronald W. Ca,xany <br />Division Director <br />Vvlslo and S31ety Natural Resource Trustee <br />k?prnen?inC <br />gVhining ?? Z),m?c.k ?X??o?=?-ena`D.? . <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: 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 Warrantyuntil the Division notifies you <br />of the correct amount of your warranty requirements.* <br />2. Option B: --L -? ZV () 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 transfer is <br />completed and the required FINANCIAL WARRANTY COULD BE <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 />office of <br />mined Land Reclamation Denver • Grand )unction Durango Active and Inactive Mines <br />