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<br />• <br />iii iiiiiiiiiiiuiii • <br />999 <br />STATE. OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department or Natural Resources <br />1313 Sherman St., Room ? 1 i <br />Denver, Colorado 80203 <br />Phone. 13031 866 ~ 3567 <br />FA\: (3071 832-8106 <br />r.;_ ~~Q' <br />~~ <br />e1F1t6 21 1000 <br />Otvtston of MineraMJ 8 Geology <br />DIVISION Of' <br />MINERALS <br />GEOLOGI <br />N EC LA MATION~ <br />MINING•SAFETY <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS ern o..ens <br />APPLICATION FORM covernnr <br />Creg E. Walc her <br />Executive Direuo~ <br />r~nichael B. Long <br />Dioislon Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: l) an Application <br />Forth; 2) an Apphcation Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator; and, ~3) 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 />100 •GL~ <br />~ 1'lto{o <br />L FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />1. ti n 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 />Warrantyrequuemwts. If you choose Option A you should nQt submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />2. ti n B: ~ ~/ }°~ DO NOT WISH TO WANE 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 chat 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 the required FINANCIAL <br />WARRANTY COULD BE SUBSTANTIALLY INCREASED at that <br />time. As the new operator. I agree to be responsible for posting any <br />required increase to the fmarcial warrants for good cause shown, in a <br />form acceptable to the I?oard, within 60-days of such notice. <br />RF° zl~~~ <br />~aY =tJo <br />r <br />