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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY ?/ <br />Department of Natural Resources jI Y E® <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 JUL 13 2009 `--" <br />Phone: (303) 866.3567 <br />FAX: (303) 832-8106 SD J/? p Of Reciamsltlom, <br />0??-ta3 V Millling and Safety <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM tl <br />COLORADO <br />D r V 15 ION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, In <br />Governor <br />Harris D. Sherman <br />Executive Director <br />Ronald W. Cattany <br />?evclh Cob / + `e?J.o J 1/t( / Division Director <br />_I d/ 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) 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 />12185 N. Dumont <br />Littleton, C <br />S?? <br />LANDSCAPE MATERIALS <br />Mark Yevoli <br />Wholesale and Retail l% <br />Decorative Rock • Boulders • Flagstone • Timbers • Fertilizers • Mulch <br />Contract Hauling • End Dumps • Tandems • Gelscape Dealers <br />CU Soil'"" Cornell University • Urban Tree Mix • License #0305271 <br />1.Ootion A: ? I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />qi&& 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 />2.Option B. I O 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 />er Crown ?r b w 16 Igo o 9 <br />of the correct amount of your warranty requirements.* <br />A/0 V= ' V010`8 <br />O 80125Y Fax 303-8471-10200258 <br />? <br />Office of <br />d Junction • Durango Active and Inactive Mines