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C -) U <br />STATE OF COLOWO <br />DIVISION OF RECLAMATION, MINING AND SAFETY W CRIV ED <br />Department of Natural Resources 6 <br />1313 Sherman St., Room 215 / ✓ f 1 C C 1 7 ' IOOQ � C O L O R A D O <br />Denver, Colorado 80203 �N UL / v D 1 V 1 1 1 O N o f <br />Phone: (303) 866 -3567 -�J Division of Reclam RECLAMATION <br />FAX: (303) 832 -8106 n^ MINING <br />I ti Mining and Safety SAFETY <br />C' TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Jr <br />Governor <br />X f APPLICATION FORM Ll� Harris D. Sherman <br />Executive Director <br />Ronald W. Cattany <br />111 /15 Division Director <br />/ t (/ 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 />FINANCIAL ANTY INFORMATION (Choose ONE Option <br />1. Option A : -b .ob 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 <br />(Initial & Date) <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30 -day processing time. I <br />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 />Office of <br />Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />