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STATE OF COLORADO <br />DIVISION ( RECLAMAIION,,"INING AND SAFETY `���' <br />oi Natural <br />Sr. Room -'I 5 <br />COLORADO <br />F) I V I S 1 0 N <br />AMATION <br />R E C L AMATION <br />MINING <br />SAFETY <br />RECEIVED <br />'rRANSFER OF PERN11TAND SUCCESSION OF OPERATORS <br />R Z 008 A PPLICATION FORM <br />Ronald c"t:'w' ' ; <br />to n ot Re6amattoll' <br />Di vi: mn D,r,-, tcr <br />Mining and Safety <br />N ke�omc e T, usiee <br />'I'l a pplication Im a Transfer ofPci and SLICCCSSioll of'Operators mast contain f()ju- (4) major parts: I ) an Application Form; 2) <br />an Application 1�cc; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />c� <br />I I <br />provided by the Successor Operator, bearing a <br />and, .4) it IcI flacerrient Financial Warranty p , t) <br />of the Su censor Operator; described below. <br />notarised si,,nature. F expedite processing <br />please provide the informatioll i the f and order <br />FINANCLU WARKANTY INFORMATION (Choose ONE Option): <br />1. Optioll A: <br />(Initial ". Date) <br />2, Option B: <br />(Initial &, Date) <br />'�Imwd I "Ild Pt, m),111ol" <br />I wish to W*AIVF MY RIGI ll'toa 30-day processing tillie to allow the <br />Di vision o f Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you C1100W Option k you should not submit it <br />Financial Warranty and Performance Warranty until the Division notifies you <br />of the correct amount of your warranty rucluirelliclits.* <br />I DO NOT WISHTO WAtVE- -%/IY Rl jl' to it 30-clay processing time. I <br />hereby submit a replacement Financial Warranty for the same dollar amount <br />as the financial �Vanant� nuainututal by due current operator. Itindcl <br />that the Division of Reclamation. Millillu and Safety will recalculate the <br />required reclamation bond Nvithin 60 f t date that the transl'cr 151 <br />C0111pI(:!Cd arid 111C IC(IIIiiCd HNANCIA1 • \VARRIANT.Y <br />SLBS'I AN-1 LAI-1 Y J""UJZEA;[ at that tillic. As the tic w operator, lagive <br />to be responsible for posling any tcquitcd increase to the financial <br />thr good cause shown. ill a f acceptable to the Board, within 60-days of <br />Such notice. <br />/vx -- A"�'-1 OK 0 <br />