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<br />So <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />ai hV <br />I l IC <br />/ <br />? <br /> _. <br />, <br />r ? <br />RECEIVED TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />? <br />F APPLICATION FORM --? <br />2010 <br />JUL 2 / <br />I:?tw,1011*t fI u(?r 111, GrG <br />t <br />f 2ero.? 2es l?C? <br />e <br />y <br />NI-ning and Sa <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Fort; 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 Option): <br />1. Option A: 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: /D - 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 /> <br />RIWEIVED such notice. <br />AUG 0 2 2010 Vo ? <br />Division of Reclamation, <br />Mining 81 Safety <br />f` A?At --? <br />11 <br />4 <br />7 <br /> 0 <br />7 <br />- <br />6 <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines