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. i or.0~ ~ <br />Firbm~. Co»h1~~er~al IY~C~~1Z~1G,1~ Cbl p <br />rnz~~ des <br />f ~ -I <br />STATE, OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanment of N'mural Resources ~~ <br />t 313 Sherman Sc., Room 27 i R~^ . <br />Denver, Colorado 80203 ` D f v I s I O N <br />Phone: (303) 666-3567 wL F~~/F M I N E R.A <br />FAX:f3D3)632-87 Db ~ry/ ~, O bc- <br />O~y~ ~ea4 v GEOLOI <br />S,~nlf~i ~ MENINGMSA Fi <br />TRANSFER OF PERMIT AND SUCCESSION OF OPE~ sill ovens <br />APPLICATION FORM ~ eoveraor <br />Greg E. Wal<her <br />Ezewtive Dlrecor <br />Michael 6. long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: I) an Application <br />Form; 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 forrnat <br />and order described below. <br />1. F'INANCTAL WARRANTY NFORMATION (Choose ONE Ootion): <br />1. do 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. If you choose Option A you should pot submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />2. n B: S ~'~~a'31 DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />(In- ' & 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 SUBSTANTL4LLY INCREASED at that <br />time. As the new operator; I agree to be responsible for posting any <br />required increase to the fmar~ial warranty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />t~1~~ =~01~1~ <br />~=51~1Da <br />