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<br />STATE OF COLORADO <br />,,N OF RECLAMATION, MINING AND SAFETY .? . `s D - 02, <br />,artmerrtof Natural Resources Received L' <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 MAR 31 2009 <br />Phone: (303) 866-3567 ?MAR 13 . 2009 <br />FAX: (303)1332-8106 rQ ) <br />r V "" Diviaian of Recwmation, / <br />Mi?lg and Safety ?/ ULAr0n@o bald Office <br />TRANSFER OF PERMIT AND SUCCESSIOV&W , <br />APPLICATION FORM <br />X19 =A?Sn1?P? L T I* c?. pink Co??>tic c, v?, LL <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />11111 Ritter, Jr. <br />Governor <br />Harris D. Sherman <br />Exeaaive Director <br />Ronald W. Canny <br />Division Director <br />Natural Resource Tnuee <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1.) an Application Foim;_2)' <br />WA- plication Fee; 3)_ a Performance Warranty-(attached-as-part of the Application Package) liearing_the _original-notarized/ <br />• _ - <br />sgnatuteof tiie Successor Operator, _and, 4) a replacement Emancial_Warranty _prov dedby_the_Succesaor_OperatorAeanng an <br />original notarized mature. To expedite processing, please provide the information in the format and order described below. <br />I. FINANCUL WARRANTY INFORMATION (Choose ONE Option): <br />1.ODdon A: a-a "a - / T',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 gg 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 WARRAN'T'Y 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 />, W k,- ,0,-8- 0q <br />AAM& 0- <br />otrwe Of <br />Mined Land Reclamation Denver • Grand function • Durango <br />-r?U"a0o9- ao 3