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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Shemian St., Room 215 <br />Deriver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />-Vf <br />o? <br />V <br /> <br /> <br />M-ca 8?-Zs? <br />4 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SA FETY <br />RECEIVED <br />JUN 2 2010 <br /> <br />Division of Reclamation, <br />Mining & Safety <br />rm, 2) <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) original notarized <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the g <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 Ootionl: <br />4wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />Option A; <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 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. 1 <br />2. Option _ <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 />Officeof <br />office of Denver o Grand Junction • Durango Active and inactive Mines <br />Mined Land Reclamation