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? v <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY ?(-?2 <br />Department of Natural Resources C v <br />1313 Sherman St, Room 215 tlI COL O R A D O <br />Denier, Colorado 80203 <br />DEC 0 9 2009 REC rLAMATION <br />Phone: (303) 866.3567 <br />FAX: (303) 832-8106 MINING <br />DlvkWn or ReclamtioR. -- &- <br />SAFETY <br />J Mining and safety ,/- - <br />1 TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Bill Ritter, Jr. <br />Governor <br />APPLICATION FORM v Hams D. Sherman <br />? ?i A / ([ / Executive Ding <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) 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:: ?l 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 Warrantyuntil the Division notifies you <br />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 />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 <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines