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? e SCANNED <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br /> <br />N1-IR ??-- STATE OF COLORADO <br />S?5 <br /> <br />OCT 0 J3200 COLORADO <br />DIVISION OF <br />MINERALS <br />GEOLOGY <br />RECLAMATION-MINING <br />SAFETY-SCIENCE <br />Bill Owens <br />Governor <br />TRANSFER OF PERMTT AND SUCCESSION OF OPERATORS <br />Russell George <br />APPLICATION FORM Executive Director <br />t?th ???J ?s vRonald W. Cattany <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) beating 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: X I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) Division of Minerals and Geology to recalculate the Financial Warranty <br />requirements. If you choose Option A you should not submit a Financial <br />Warranty and Performance Warranty until the Division notifies you of the <br />correct amount of your warranty requirements.* <br />2. Option B: 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. I understand <br />that the Division of Minerals and Geology will recalculate the required <br />reclamation bond within 60-days from the date that the transfer is completed <br />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 Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survi v