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1 <br />i <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND WE Y <br />Department of Natural Resources ?® <br />313 Sherman St, Room 215 e('S ?? R COi/ ® COLOR-ADO <br />Denver, Colorado 80203 D I Y I S I O K OF <br />21 ??? RECLAMATION <br />Phone: (303) 866-3567 i l{? j <br />FAX: (303) 832-8106 I MINING <br />SL-a Division of Reclamation, SAFETY <br />Minin?& 6Safety <br />PER <br />TRANSFER OF PERMIT AND SUCCESSION F PE 7.. RS Bill Ritter, Jr. <br />Covertor <br />APPLICATION FORM L--- Harris D. Sherman <br />7 Executive Director <br />r Ronald W. Cattany <br />Division Director <br />Division Qf & SafemtY Dn' . ? r??r - Natural ResourceTrastee <br />Mining <br />The application for a Transfer ofPermit 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 ODtion): <br />1. Option : <br />(Initial & Date) <br />2. Option B: <br />al & Date) <br />I wish to WAIVE MY RIGHT to a 30-d-ry processing time to allow the <br />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 Warrantyuntilthe Divisionnotifies you <br />of the correct amount of your warranty requirements.* <br />150 NOT WISH TO WAIVE MY RIG14T 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 Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines