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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Do p,"'!; nl n N.,t(I raI Rf o(It r•s <br />1 i 1 i yhr•rnt,rn �L, Roorri 215 <br />IN-n, w of ido 80203 <br />f3i)f, -2567 <br />FAX :3U ")' 6324 100 <br />RECEIVED <br />C O L O R A D O <br />D r v I s r o v o IF <br />RECLAMATION <br />MINING <br />SAFETY <br />Pill O•„r•iis <br />APR 2 3 2008 <br />TRAVShhuR OF PERR9I`C AND SUCCESSION OF OPERA "fOKS <br />Rus, -1 Goor <br />Division of Reclamation, APPLICATION FORM t •r - Dire nor <br />Mining and Safety k; ,,,,,l,l M c .,,,,,, 1 . <br />Divi:mn Dimctor <br />1 application tour a Transfer o1 Perinit and SUCCe551on of Operators must contain four (4) major parts: 1 ) an Application Form; 2) <br />an ,Applicat.ioti Fcc; 3) a Performance Warranty ('attached as part of the Application Package) bearing the original notarized <br />SW,1MIUr e of the Successor Operator; and, 4) a replacement financial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. 1'0 expedite processing, please provide the information in the fonilat and order described below, <br />I. FINANCIAL WARRtkNTY INFORMATION (Choose ONE Option): <br />1 .visit to WAI,V1 iMY RIGI IT_ to a 30 -flay processing timec to allow the <br />huaal )atcj Division of Reclamation. Vi ining and Safely to recalculate the Financial <br />Warranty requirements. If you choose Option A you should ni t subnut a <br />Financial Warranty and Performance Warranty until the Division notifies you <br />of tile, correct amount of' y our wan IccIuirenternts.* <br />2. Option t3: — .---- , -__ -- 1 DO NOT WISH TO WAIVE MY ltl(;i1T to it 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 Safely will recalculate the <br />required reci;unation bond within 00 -flay; front the date that the transter is <br />completed and the rcquircd FINAM.1AL <br />SI_!13S 1 A�:f_I \LI _l - 1NC'R E��SPT) at thaC tints. As the new operator. I agree <br />to be icsponsible ti,r posting any required increase to the Financial wvarranl% <br />tour l,nod Cause shown, in a form acceptable to the Board, within 60 -days of <br />such notice. <br />A l&- ' \jl <br />(?Iti� �• �,t <br />�.'�un�l I.inr! f!rrl.�n1,,t"n Aciivr� and Inactivrt klinr4 <br />M -/9ey o7� .sop/ <br />STATE O COLORAD <br />