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o'. oNG ~' <br />:.. ~ro,~. Cort;~~lal I~r la(s C'ol Q~ <br />~a - I/ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman 8t., Room 21 i <br />Denver, Colorado 80203 <br />Phone: 003) 866-3567 <br />FAX: (303183?-8106 <br />TRANSFER OF PERt~1IT AND SUCCESSION OF <br />APPLICATION FORM -~ <br />~~6 <br />- I <br />. <br />~ <br />~, V II S <br />~ D <br />~1,4f <br />~ MINERA <br /> <br />l& ~ &-- <br /> GEOLOc <br />~' ~~ <br />~~ <br />~ ~ 0. E~C L A M A T I <br />°jd~ <br />5 HINING•$A FE <br />dµ' <br />)PERA~`@~S <br />Bill Owens <br />°S emOr <br />DO <br />`r V <br /> Greg E. Walther <br /> Execmive Director <br /> Michael 8. Long <br /> Division Director <br />The application for a Transfer of Pemvt and Succession of Operators must contain four (4) major parts: 1) an Application <br />Form; 2) an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator, and, 4) a replacement Financial Warranty provided by the Successor <br />Operator, bearing an original notarized signature. To expedite processing, please provide the information in the format <br />and order described below. <br />FINANCIAL WARRAN'T'Y INFORMATION (Choose ONE ODLIOnI: <br />I. rion A: I wish to WANE MY RIGHT to a 30-day processing time to allow <br />(Initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. Ifyou choose Option A you shquld ~ submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requuements.' <br />2. n B: S ~5~~'V31 DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />(Int al & Date) time. I hereby submit a replacement Financial Warranty for the same <br />dollaz amount as the Financial Warranty maintained by the current <br />operator. I understand that the Division of Minerals and Geology will <br />recalculate the required reclamation bond within 60-days from the date <br />that the transfer is completed and [he required FINANCIAL <br />WARRANTY COULD BE SUBSTANTL4LLY NCRE4SED at that <br />time. As the new operator, I agree to be responsible for posting any <br />required inaease to the fmar~ial warranty for good cause shown, in a <br />form acceptable to the Eoard, within 60-days of su~,crh notice. <br />A~ = 5~2'- ~ a73 <br />