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O6-bUA-2D06 16:06 FROA1-Colorado Divielan of Ninenlr L Deolooy ~13g36326106 <br />STATE OF <br />DIVISION OF MINERALS AND GEOLOGY <br />DepRmrrand Natural Rerouc,es <br />1313 Shennart %. Reran 215 <br />Denver, Colorado 110201 <br />P1rOnc pDl)166J567 <br />iAN: p02) e32dtp6 <br />T-660 P.D0//012 F-i45 <br />~~ <br />C <br />D--._._ <br />~~ MINER <br />~~y~,, GEOLG <br />~~ l I ~~~ ~ 's iiii*i~%~ <br />S O P SUC ION OF OPERATORS iv ntn o.,.,,. <br />,'// Govena <br />APT1dCATEON FORM <br />Rouen Geay <br />Eaeewve Direnor <br />GY <br />Rack W. Gaany <br />Diyiygn D4eclor <br />NatuM Rteourte Taaee <br />17rv jornr Aar ban approved by rAe Mmrd Load RreJmnatioa Board pwsaaM ro sem'oar 34.3b117, CRS, ojtAe Muted Land <br />Redatt~on,4dm13I32,~JJ7,C,R.S.,ojrAeCoforadoLmrdRerlmnalVonAdjorfAeF~m~oep'onojCanWnmonMevrsiafsArry <br />aBeaelon oraaad~ieation ojdiirJorny ratalaaaapprowl byl#BoaodshaQrarril iie drrfutmrdal rsgo•-aerQ'bebrSirratafdmrdltmrCbr <br />dFr vaidora ojaryprrnrir istretd in conjwrralon tvidi tntA ilrvaSd, f6emtdal rtttrrany and tublyd dFe opesafor m o[aae nerd de.rise <br />orders and dte7porobHajoropermrare ntidorQa perwrirparstrard m sermons 3!-3bJ13, GR.R, ojehrbfared LalydReelmnaeionAd <br />and #3J.>~JI3, GILS, ojthr Colorado Jaad RrdmnaGon Adjor ehe Exsamfon ojConssas!!on Materiaer. <br />The app&eetioa for a Treader auFPermit and Sttaxssioa of Operates mart wntam tole (4) major parts: 1) en AppGoatioa Form; 2) as <br />Appliatloe Fm; 3) a Perfatmwee Wttttamy (esrachcd as part of the App]icWioo Package) bearing the origilal notariaod sigaemte afthe <br />Sltooeasar Operator, ahd, 4) a replaameat Finendel Wertan/y providodby the Sltoccssor Operator. bearing ao arigioal nDtmvldsigtuaure. <br />To expediter processing, pleax provide the ioformetioo is rho formal and order dmtbad below. <br />~ECEI„ VER <br />MAR 17 ?C!';~ ~~ <br />FJNANCIAL wAwuNrst INFORMAT>!oN cchDDee oNH OoCaD); <br />®ivisian of Minerals and Geology <br />I.ODtba A; I'h r^ • '~ ' ~ 1 wish b WAIVE MIGHT to a 3D-day processing rime to allow the <br />(Initial S Date) Division of MtaereLs eod Geology to recelculare the Fimocel Werreary <br />roquircmats. Ifyau choose OptioaA you should got submit a Financial Warranty <br />end Pesforaunce Werrmry tmtil the Division aoti6es you d'the corral errtount of <br />yDta warranty requirmtwtte <br />2.Oaton B: I DO NOT WISH TO WAIVEld]'>uG~ to a 30~ay pmceessiaag times I <br />(lmtielt@Date) baebysubmitetrylacementFinomcielWerrenryforthesemedollaremotwssthe <br />FiDaDdel Watmry maintained by the entreat opa'etor. f tmdastaDd that the <br />Divisive of JrSme7-els afld Geolop' will rscalculote the ngtnrcd tcelemetion bond <br />within 60-days from the date that the IIaada ix craapleted and the required <br />FINANC WAARaNry Cotg~D Bt= em T T.rrrat t v ttiCRE,e~ et <br />that time. As the new , I agree to be tespoatiiblc for posting any rtgttired <br />iaacase to the fi»meiel wee~anry for good cause shown, in a farm ucoeptablc m ebc <br />Board, within 6o•days of such noGa. <br />ORiu d Olace of felorade <br />Mimd land aedsnatwn Aaive and Mxtive Mlne Geobeiol Survey <br />