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~'/- /St'z-Q3~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 13031866-35G7 <br />FAX: 13031832-8106 <br />RECEIVED <br />FEB 2 2 2005 <br />Division ~f Minerals and Geology <br />APPLICATION FORM <br />OF OPERATORS <br />~~ <br />.~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />Roy Romer <br />Governor <br />James 5. Lochhead <br />Executive Director <br />Michael R. Long <br />Division Direcor <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application <br />Fora; 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 signaturo. To expedite processing, please provide the information in the format <br />and order described below. <br />Permit H: M-1992-03R Confidential?: N <br />Class: Revision Type/Seq.: SO-1 <br />From: Jones Fine Sand TO: DMG <br />Doc. Name: SO Sand Creek Farms, Inc. to Jones Fine Sand <br />Date: oznznoos <br />I. FINANCIAL WARRANTY INFORMATIO: specialist: FIIIPBDC <br />1.O~tion A: x <br />(Initial & Date) <br />2.Option B: <br />TRANSFER OF PERMIT AND <br />(Initial & Date) <br />1JoV= /~onl~/J <br />l~'.t.f'' OI`/0/%vaS <br />I wish to W ANE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />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 wmpleted and the required ~jJANC1AL <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 Boazd, within 60-days of such notice. <br />