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olorado Department of Public Health & Environment <br />Water Quality Control Division FOR AGENCY USE ONLY <br />WQCD-P-B2 - <br />rcc <br />4300 Cherry Creek Drive South <br />Denver, Colorado 80246-1530 <br />Year I Month ! Day <br />NOTICE OF TRANSFER AND ACCEPTANCE OF TERMS OF A <br />STORMWATER DISCHARGE GENERAL PERMIT CERTIFICATION <br />1) To be completed by the NEW permittee: <br />I hereby accept transfer of this Colorado Discharge Permit Certification No. CO R 0 4 . 0 107 , which <br />was issued to -IIMETGO 21INr ttALS . I have reviewed the terms and conditions of this - <br />permit and the Stanmwater <br />Management Plan and accept full responsibility, coverage and liability. This transfer will be effective on: Sant-bgr R <br />The facility site is located at: <br />Street Address Burro Canyon <br />City, State and Zip Code <br />County San Miguel Name of facility or development Burros Mine <br />The NEW permittee is: <br />Company Name Gold Eagle Mining, Inc. <br />Mailing Address - 849 Main C t r P P t <br />City, State and Zip Code MnntroaP _ C Q 81401 <br />T? <br />Phone No. --9-70-249-0404 4 Fed. Taxpayer (or Employer) ID No. 8 4 1? 2 8 2 4 5 0 <br />Local Contact (familiar with facility) non Coram <br />Title -President Phone Number 9714-949-0404 'i <br />I certify under penalty of law that I have personally examined and am familiar with the information submitted herein, <br />and based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the <br />information is true, accurate and complete. I am aware that there are significant penalties for submitting false <br />information, in*di"e possibility of fine and imprisonment. <br />Signature of <br />Applicant (Legally Responsible party) Date Signed <br />0 D n/ l'O ?,4 rrt President <br />Name (printed) Title <br />2) To be completed by the Previous permittee: <br />As previous petmittee, I hereby agree to the transfer of the above referenced permit and certification and all <br />responsibilities thereof. <br />Name Curr.;,.a 0 Sea 1 y <br />Mailing Address Umetco Minerals Corporation, 2327 Compass Drive, Suite 2E <br />City, State and Zip Code Grand Junction, Colorado 81506 <br />Phone No. (970) 245-3700 Fed. Taxpayer (or Employer) ID No. 0 6 1 1 0 2 2 8 3 <br /> <br />Signature of Permit Applicant (Legfffy Responsible Party) Date <br />Curtis O. Sealy General Manager <br />Name (printed) Title r <br />9197/trans