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<br />l~ <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanment ni Nawwl Resources <br />131 3 Sherman St.. Room ~ 1 i <br />Denver, Culurado 80'_03 <br />Phone 13071 866-%6,- <br />fAX~ (3071 a3'_-8106 <br />COLORADO <br />RECEIVED <br />MAR 2 0 2001 <br />Girieion at Minarab end Geology <br />TRANSFER OF PERhIIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />~~ <br />DI VISIO,V 07 <br />MINERALS <br />GEOLOGI <br />aEC~AnArION <br />MINING•$AFETY <br />eal o..~en: <br />Governor <br />Creg E. Walther <br />E.e<uhre D~reUOr <br />Michael8 Long <br />Division Drtenor <br />The application for a Transfer of Perttvt and Succession of Operators must contain four (4) major parts; 1) an Application <br />Form; 2) an Application Fee; 3) a Perfomlartce Warranty (attached as part of the Application Package) bearing the original <br />notarized signature of the Successor Operator; and, 4) a replacement Financial Waaann 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. JO _ <br />~- i~4a - ors <br />!~~%pf N77o <br />I. FINANCIAL WARRANTY INFORMATION (Choose ONE Ootion): '~ ~c'25,0C7 <br />1. tin 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 />Watrann requirements. If you choose Option A you should ~ submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amotmt of your warranty requirements.' <br />B ~ APPROVE that the transfer is completed and the required FMANC[AL <br />WARRANTY COULD BE SUBSTANTIALLY MCREASED at that <br />time. As the new operator. I agree to `; responsible for posting am' <br />required increase to the Cu:ar.cial tvarrann' for good cause shown. in a <br />form acceptable to the Eoard, within 60-days of such notice. <br />2. ti n B: X tS~ol I DO NOT WISH TO WANE MY RIGHT to a .0-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 «iIl <br />recalculate the required reclamation bond within 60-days from the date <br /> <br />III IIIIIIIIIIIII III~F <br />999 <br /> <br />