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<br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Depzutment af Natural ResouronS <br />?^ v <br />`? <br />1313 Sherman St., Rci -n 215 COLORADO <br />Denver, Colorado 813203 <br />Phone: 603) 866-3767 <br /> <br />I\ <br />6106 <br />2 ?g p? ? <br />I?6 <br />?1 M ?? r? t w s a ? o r- <br /> <br />RECL,LM4T10N <br /> <br />M I N I NG <br />- <br />FAX: 13037 83 <br />5 MAR <br />S5 0 9 2009 SAFETY <br />Qp? I Division of Reclamation __.?. <br /> , <br />Mining and Safety t? Bill <br />Rnter,' <br /> , <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Barris e. S erman <br /> Ezec.ts"Ne Director <br />APPLICATION FORM f r,.:;71d VVh <br /> D;v;sion i p.aor <br /> N'aiural Re,,ource i rustee <br />The application for a Transfer of Permit and Succession of Operators must cons in four (4) major parts: 1) an Application Forth; 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 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 c7 " 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. 1 understand <br />that the Division of Reclamation, l 4ining and Safety will recalculate the <br />required reclatriation bond within 60-day>s f;vm the date that the tr nsfer is <br />ccanpleted and the required ELNA1,!s AID, W NRI R f'?'_ T?°a COLIL D BE <br />SUBSI:AN IaLIX INCREASED at that tithe.. As the new operator, 1 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 />Ofice of <br />`dined €.and Reclamation 3enver G-,- nd Junrtion Duran6o <br />Ofic- of <br />!',xtme and Inactive ti11nes