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<br /> <br />mil''!- 90 - i<a <br />~~r~c~-~ <br />~LORADO <br />STATE OF <br />DIVISION OF MINERALS AND GEOLOGY D <br />-`~riVE <br />Uepanmem of Nawral Resources ~/'~ <br />1313 Shcrman $I., Room 21 i V 0 <br />Denver, Colorado 80203 ~~~ ~ ~ 2U~2 ~rB ~ ~ou[ <br />Phone: 1303) 866-3567 ~slun of yl/ne <br />FAX:1303i 832-8106 Division of Minerals and Geology rats and~ol'o EPARTMENT OF <br />9~ATURAI <br />RESOURCES <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />TFIe application for a Transfer of Permit and Succession of Operators must a <br />Fomy 2) an Application Fee; 3) a Perfom3ance Wananty (attached as part of <br />notarized signature of the Successor Operator, and, 4) a replacement F <br />Operator, bearing an original notarized signature. To expedite processin@ <br />and order described below. <br />I- FINANCIAL WARRANTY INFORMATIO / Doc. Name: <br />Doc. Date (if no date stamp): <br />1-Option A: I ' h 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: (9'I r ~ IY - I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial & ate) 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 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 financial warranty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />Roy Romer <br />Governor <br />lames 5. Lxhhea8 <br />Executive Director <br />Michael B. Long <br />Division Dlfefl0! <br />[fain four (4) major parts: 1) an Application <br />he~Application Package) bearing the original <br />ancial Warranty provided by the Successor <br />please provide the information in the format <br />ermit #:M- (~40 - Ira ~ Confidental?: <br />Class: Type-Seq.:.X3-~ ~ <br />From: To: <br />NbV-N(~N6 <br />~- (~(151D2 <br />