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<br />µ Zco4--os8 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVED <br />Department of Natural Resources <br />1313 Sherman St., Room 215 J <br />Denver Colorado 80203 MAY 012009 tREC&A COLOR-ADO <br />ION OF <br />Phone: (303) 866-3567 !! 9 MATION <br />FAX: ( 303) 832-8106 NING <br />Division of Reclamation, <br />x? Mining and Safety SAFETY <br />ReCE%V TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS- Bill Ritter, Jr. <br />Governor <br />APPLICATION FORM <br />ZQO9 <br />11,N O Harris D. Sherman <br />6on I Executive Director <br />01 \4,PG ???ty 111/// 61XvY-1 Ronald W. Cattany <br />01n ng a CJ 7 n ?/ ?J J 14C- Division Director <br />r,. , 0 3a lY l 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 Appl`cation 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 Warranty until the Division notifies you <br />a of the 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 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 />SUBSTANTIA.LI,Y INCREASED of 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 <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines