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~o-oz~ . <br />m~~q~/ <br />~cerp~f''71~1 ~ 1a5,oo <br />STATE OF COLORADO <br />DIVISION OF htINfRALS AND GEOLOGY ~.p~ <br />Department of Nmural Resources R EC EIlI E D `~ <br />1317 Sherman $[., Roam 21 i , // D I v I S I D N <br />Denver, Colorado 80203 APR 2 9 ZOOZ M 1 N E RA L <br />Phone: (3031 866.7567 <br />FAX: (3D31 83 2-81 06 SL--" <br />Division of Minerals and Geology G E O L O G <br />0.EC LA MATZO <br />.H INING•SAFET <br />TRANSFER OF PERbIIT AND SUCCESSION OF OPERATORS ~ eai owes <br />APPLICATION FORM eoverner <br />Creg E. W alcher <br />Eaecufire Direnor <br />Michael B. Lang <br />• Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain fow (4) major parts: 1) an Application <br />Fomt; 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 signatwe. To expedite processing, please provide the information in the format <br />and order described below. <br />FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />I.O hn 'on 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 />Warranty requirements. If you choose Option A you should to submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of yow warranty requirements.' <br />2. Q h~ on B: ~~ ~" (~'aZ I 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 />- _ 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 />WA_RR aNTY 0 ii D B£ SLIBSTANTiALLY INCREASED at that <br />time. As the new operator; I agree to be responsible for posting any <br />required increase to the fmarcial warranty for good cause shorn, in a <br />form acceptable to the Eoard, within 60-days of such notice. <br />