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JUL -06 -2011 07:33 From: <br />(3M0 <br />s ocz <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St,, Room 215 <br />Denver, Colorado 30203 <br />PhOne: (303) 866.3567 <br />FAX: (303) 833 -8106 <br />alike of <br />1. Option A: <br />h. Option R: <br />TRANSFER OF PER IT Mu) SUCCESSION OF OPERATORS <br />AePLICATION FORM <br />The application for a Transfer of Permit and Succession of Operators must contain Four (4) major pans 1) an Application Foutt; 2) <br />an Application Fee; 3) a Performance War,anty (attached as part of the Application Package) hearing the original notarized <br />signature of the Successor Operator; and, 4) a replacement f=inancial Warranty provided by the Successor Operator, bearing an <br />original notarized signature. To expedite processing, please provide the intbrmatinn in the format and order described below. <br />FINANCIAL WARRANTY INFORMA (Choose ONE Option): <br />(initial & Date) <br />(initial & L)atc) <br />>/ <br />3037832992 To:3038328106 Pase:2'2 <br />/4//0—/c/2 <br />STATE OF COLORADO <br />RECEIVED <br />JUL 06 2011 <br />Division of Hectamation, <br />Ianing and Wet/ <br />COLORADO <br />DIVIS,t]N ti <br />RECLAMATI(3 <br />MINING <br />SAFETY <br />I wish to WAIVE MY RIGHT to a 30 -day practising time to allow the <br />Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should la submit a <br />k inanc.ial Warranty and Performance Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* <br />I DO NOT W ISH TO WAIVE MY RIOT 1'1' to a 30 -day processing time. I <br />hereby submit a replacement Financial Warranty for the same dollar account <br />as the Financial Warranty maintained by the current operator. 1 understand <br />that the Division of Reclamation, Mining and Safety will recalculate the <br />required reclamation bond within 60 -days liorn the date that the transfer is <br />completed and the required FINANCIAL. WARRANTY COULD BE <br />SUBSTANTIALLY 1NCRhA EL) 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 />Office of <br />Mined Land Reclamation Denver • Cranrl Junction • Durango Active and inactive Mmes <br />