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DIVISION of RECLAMAJION, ,MINING AND SAFETY <br />Dop �;n;n• °nl nl Nattual Rr<nurra•s <br />Den�i {' 80?.03 <br />Phnnr: '.3 (J3 8tih -t`ib" <br />rAX o a; 1 -81u6 <br />RECE <br />°M ?-a/ <br />STATE of COLORADO <br />Ap 23 �p0� <br />~` Reclact� -609 A 1� E <br />RNSR OF PI RMIT AND SC F' CCESSION O OPERA TO RS <br />pN�M 6%ng and S {e APPLICATION FORM <br />C O L D R A D O <br />nivisio or <br />RECLAM AT ION <br />MINING <br />SAFETY <br />Bill O ns <br />Exe( i;l ieP t�irer:;Or <br />Ronald <br />Division Direcctcr <br />Natural k!- source Trusri•( <br />'I'hr application Im a Transfer ofPcrm.it and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fce; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the SUCClSS0 1 Opera tor; and, •l) a replacement Financial \Warranty provided by the Successor Operator, bearing an <br />01 ill inal notarized signature. 7'o expedite processing, please provide the informatiim in the format and order described below. <br />I. FINANCLAL WARRANTY INF'OR,INTATION ( Choose ONE Op tion): <br />1. O )thou A : 1 wish to W'AI,VIF- NI RIG HT to a 30 -flay processing time to allo\v the <br />Initial e� Dare) Division of Reclamation. Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should nut subnut a <br />Financial Warranty and Performance WarrantY until the Division notifies you <br />of the correct amount ol'your warranty requirements.* <br />2. Option B : -- - -- - I DO NOT WISH TO W AIVE MY W GiIT to a 30 -day processing time. I <br />( Initial & Datc) hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial 1,Van maintained b} the current operator. I understand <br />that the Division of Reclamation. %lining and Safety will recalculate the <br />required reclamation bond within 60 -days from the date that the transfer is <br />completed and the Wquireil I N-AV 'IAI_1A ARR \ \7'Y ('OL`I I) fIF <br />51. I \N'FIAFL�' 1 \( `R E r1SFD at that time. A; the nc�e operator, t agr%e <br />to be responsible fir posting any required increase to the financial xrananiv <br />for good cause hown. in a form acceptable to the Board, within 60 days of <br />such notice. <br />Active and Inactive: �V1inr,z <br />