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-.~~~. ` • lllllllllllllllllll l~TATT" r1T' ~'rlT rlv ~ . ~ inl c yr ~ycyl~rivy DIVISION OF MINERALS AIVU lalOLOlri ~ C'iepaflmeni Oi i~iai~i al R~purCC'i t 3 t 3 Sherman Sc, koom 2t ~ .~~I `~"~``' "'°` "°"0203 RECEIVED Phone'17031866-3567 FAX: (3031832-8106 AUG 2 5 1999 r~~A~rv~-~ ~ of NATURAL ~ 6 Geaio9Y RESOURCES TRANSFER OF PERMIT AND SIIL~aON OF OPERATORS Roy Romer APPLICATION FORM eoverner fames 5. lochheaA E:ecurive Director Michael 6. Long Drvisron D~reffir The application for a Transfer ofPermit and Succession ofOperators must contain four (4) major parts: 1) an Application Form; 2} an Application Foe; 3) a Perfomlartce Warranty (etta~od as part of the Application Package) bearing the original notarized signature of the Successor Operator, and, 4) a replaoanent Financial Warranty provided by the Successor Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format and order described below. ~©_ 601 ~t£~o•y0 'Rec_o~ 7a4 ~-I.-B'o-ilo FINANCIAL WARRANTY INFORMATION (Choose ONE (hrtion}: 1.~: ~' ~~ (Initial & Date) 2.Ontiou B (Initial & Date) E S~ PpR~ r~ ~~ I wish to WAIVE MY RIGHT to a 30-day processing time to allow the Division of Minerals and Geology to recalculate the Financial Warranty requirements. I DO NOT WISH TO WAIVE MY RIGHT to a 30~ay processing time. I hereby submit a replacement Financial Warranty for the same dollar amount as the Financial Warranty maintained by the current operator. I understand that the Division of Minerals and Geology will recalwlaiethe required reclamation bond within 60-days from the date that the transfer is completed and the required FINANCIAL WARRANTY COULD BE SUBSTANTIALLY 1NCREASI3D at that time. As the new operator, I agree to be responsible for posting any required increase to the fulancia! warranty for good cause shown, in a form aazptable to the Board, within 60-days of such notice.