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�rvtG/ S SS <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />2. Option B: <br />Office of <br />Mined Land Reclamation <br />NVV iu a ktC, <br />d <br />01 4 4.- ra %Za <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />(Initial & Date) <br />C <br />STATE OF COLORADO <br />d. � to- 0 3 <br />iq$z03b <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />--- &— <br />SAFETY <br />e (5 <br />Division C+: <br />ilillrE i Sa t <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <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 Option): <br />I S �� <br />1. tion A: L Z� I wish to WAIVE MY RIGHT to a 30 -day processing time to allow the <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. I <br />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 />S UBST {11ALLY 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 />Office of <br />Denver • Grand Junction • Durango Active and tractive Mines <br />