Laserfiche WebLink
'. ~: ~ :, <br />DIVISION OF MINERALS AND GEOLOGY <br />Deportment of Natural Resources <br />RECEIVED <br />1.313 Sherman St., Room 215 ~~~ ~ ~ 20U2 <br />Denver, Colorado 90203 <br />Phone: (303)866-3567 <br />FA%: (30.31 832-8 1 06 <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />Ruy Roarer <br />Governor <br />lames 5. Lochhead <br />Ezecutive Director <br />Michael B. 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 />Fonn; 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 WARRANTY INFORMATION (C <br />Doc. Date (if nod a stamp): !c I O <br />Permit #: % I -194j - D 9~ Confidental?: /J <br />Class: Type-Seq.:~_~ <br />From: 1 trru.~ i To: D IYI C~ <br />Doc. Name: 't o -Fo 5=hr er Terrrci'Ci <br />l7- D ~ <br />Option 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. Option B: 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 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, [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 />~~as, o0 <br />~;~ ~~« <br />STATE OF COLORADO <br />~(ov~ NowE <br />A~=~ISfDz <br />