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" M-1996-082 BLAIR MESA <br />so-oa <br />alaS.bo ,P~cpf-7.3sq <br />S~~TE o~ coLorz~Do <br />DIVISION Of .MINERALS AND GEOLOGY <br />Dupanmem of .ti~awral Resources RECEIVED <br />I i I? Sherman Si., Ronm ? 7 i <br />Denver, Colorado 80'_03 <br /> <br />Rhone: 13031 366-356i ~ ~ ~~~ <br />~~~ <br />FAX: 1303 83'?-rilgb <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />DEPART~IE.NT Or <br />NATURAL <br />RESOURCE ~ <br />Ruy Romer <br />Governor <br />Tames 5. Lochhead <br />Executive Director <br />Michael 6. LOng <br />Division Director <br />The application for a Transfer of Permit 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 />Permit #: /'1-1446- D8a Confidental?: N <br />Class: ~dcsia-,-. Type-Seq.: SIB-o3 <br />From: ~~ To:77rvIG <br />Doc. Na e: n L't?5{em Mo6tte ,mac Io L(b' ~_ UAes~. ~ <br />FINANCIAL WARRANTY INFORMATION (Chc Doc. Date (if no date stamp): 3fa4lod t v <br />l . Opfion A: I wish to WAIVE 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. <br />2.Ootion B: X MqS I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial & Date) time. I hereby submit a replacement Financial Warranty for the same <br />dollar amount as the Financial Warranty maintained by the current <br />operator. I understand that ttte 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 the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY 1NCRE~ED at that <br />time. As the new operator, I agree to be responsible for posting any <br />required increase to the financial warranty for good cause shown, in a <br />form acceptable to the Boazd, within 60-days of such notice. <br />KO~S = Nci~E <br />~ :F. = n~~5~o~ <br />