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r~/\T /\T A T1 /\ <br />STATE OF <br />DtVIS10N OF MtNEIULS AND GEOLOGY ~ ~ ~~~ r /il r <br />DeputnKnt d Nrtural Refourca II ~ <br />,3t35Frcrtr{an 5l.. ttoom 2,s~~C1~y~D RGCE'V E~ COLORADO <br />Darner, Colorado 811203 R ~/G G MIN 1 RA L S <br />PFione (30318663567 <br />FAX: !3031832-0108 JUN p 5 2~ MpY g 2 21106 c E o ~`O G Y <br />ad0aooY~ eECIANATiON•NININe <br />p fAfRT•{CIIN C! <br />pivision o5 Mi~SFER OF PERMTP AND SIICCE9~ION OP'OPERATOR3 Y~/ <br />eia orNn <br />Govenw <br />APPLICATION FOR11I ausseil Gearae <br />FYecuie Direcwr <br />ItonaW w. ~aanv <br />Dwlsion Dlnsw <br />NEwgl Resource Tnstee <br />77da john IYet hew oplrravtd by a6s Mdud Lsnd RedamaowE Bernd parwaE+m aadiont 3441-117, GRS, ojdle Mbesd Zend <br />JPer/oamaienAdaard34-325417, GRS, ejdls CdwadoLmrdReelea~mEAdjar l6sEsliadion ojCan,6udian Mal~vrloh Arry <br />alevatlaE artott ojdtirlonn.,emio«rapprm~laytlrsEamarrran,aner6r elrcJSrmaw»m.®gvbeia~,kw6emaamnra <br />~ d ej~YP~ isarsd in earJnnrsfotE wtdl saratr ur{n8dfbranda/ xmrmty {md tnb, jeEd NFs opea~o, b amts and dates <br />adct and ds8p{amEtiajo-operoaka wi~laa+tepandtpnrm{mt6asedionr34.3b113, GRS, ofineMwed 1~rdrdReclarEaaionAd <br />md34-325-113. GRS. ojlke Cdorado LondRedmnaalarrAdjor Mls Eton ofCon:kvcBon Metnialt. <br />The application for a Trenfder of Permit and 3utxxasi~ of Operates must contain faa (4) major pertt: 1) m Application Foam; 2) m <br />Application Fx, 3) a Performeace Warranty (attached as part of the Application Package) beazing the eigmal nolarined signann+e of the <br />Snocasor Operator, end, 4) a replacement Financial Warsantyprovided by the Strocease Operator. bearing an aigioel d~gnsaue. <br />To expedite processing. pkese provide the informetien in the format and ender deslaibed below. <br />FINANCIAL WAR (~ (Choose ONE Ootion): <br />1. ~~: ~_~ I, I wish to WAIVE MY RIGHT to a 30-day proces~ng tirce to allow the <br />(Initial & Date) Division a~f Mmaels and Geology to recalcuate the Fin®taet Warranty <br />tequiremmtt. IfyatchooseOpaonAyoushaildFg[submit aFinamial Weary <br />and Perfamma Wamary until the Division notifies you of the correct enro,mt ~' <br />yoe warrmty mquir®ents.• <br />2. I DO NOT WISH TO WAIVE MY RIGHT to a 30•dey processing time. I <br />(Initial A Date) hereby submit a repleoemeat Finmciel Warranty for the creme dollar emolmt as the <br />Financial Warranty maintainod by the ctarmt operator. I undesstaod that the <br />Division od'Miovals end Geology will recalculate the requires! reclamation bond <br />within 60-0ays H,om the date tdat the treader is completed and the required <br />F1N N a, W uFtaN•rY CO i<- B . St TAN?Ta,.F.Y INC FASID at <br />that time. As the new operate, I agree to be responsible for posting mty required <br />itfcaee~e to thelmateisl warranty for good cause showq is a farm acceptable b the <br />Board, within ti0-0ays of such rotice. <br />CMfica d CNflct d Cobrado <br />Mined find Retlarrsstion Active and Inactive Mines Geological Survey <br />