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SD � y STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />COLORADO <br />Denver, Colorado 80203 <br />D I V I S I O N O <br />Phone: (303) 866 -3567 <br />RECLAMATION <br />FAX: (303) 832 -8106 <br />MINING <br />SA F ETY <br />RECEIVED TRANSFER OF PERMIT OF OPERATORS <br />FORM <br />JUL 2 7 2010 <br />D144101r ul <br />l irting am <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 WARRANTY INFORMATION (Choose ONE Optionl <br />1. option A <br />(Initial & Date) <br />2. ption <br />(Initial & Date) <br />I wish to WAIVE MY RIGHT to a 30 -day 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 Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* <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 />f NoV-M� <br />*- /�fg'f- -�� 7 /,-/- 4 // 0 <br />Office of Office of <br />Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines <br />