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<br />iu_ <br />es`J 11 ll <br />• <br />OF COLORADO <br />DIVISION OF htINERALS AND GEOLOGY <br />Department or Nawra I Resources h C /'t t I ~/~ D <br />IIGI~ V <br />1373 Sherman St., Room _'I i <br /> <br />Denier, Colorado 80?03 (~ <br />M <br />4Y 3 20 <br /> <br />Phone: ^O]) 866~3i67 . <br />~ <br />FAX: 1}031 832-d106 <br />Diwslon r: ~!rera~ GeN^gy <br />APPLICATION FORM <br />Greg E `.valcher <br />Evecmroe D~reCOr <br />a.r~chael 9. Lonq <br />Division Duecor <br />The application for a Transfer of Permit and Succession of Opera[o must contain four (•f) major parts: l) an Application <br />ForrtL 2) an application Fee: 3) a Pertortnance W armnry (attach as part of the Application Package) beanng the original <br />notarized signature of the Successor Operator; and. ~) a lacement Financial W"arranty provided by the Successor <br />Operator, bearing an original notarized signature. To ex dice processing, please provide the information m the forma[ <br />and order described below. <br />[. <br />1. ti n .~: <br />~. <br />TRANSFER OF PERMIT ~uND SUCCESSION OF OPFr12.4TOR5 <br />(Initial & Gate) <br />(Choose ONE Option) <br />~~ <br />DIVISION OF <br />MINERALS <br />GEOLOGY <br />R'cCLA MAiION <br />MINING•SAFETY <br />dill Owent <br />Co~ernor <br />~ I b~,~ <br />I wish to W.~P7~E DIY RIGHT to a 30-day processing tune to allow <br />the Division of ~[inerals and Geology to recalculate the Financial <br />Warranty requin'menrs. If you choose Opuon A you should not submit <br />a Financtal Warranty and Performance W~artanty until the Division <br />notifies you of the correct amount of your warranty requirements.' <br />I DO NOT WISH TO ~VACVE ~[Y RIGHT [o a 30-dac processing <br />time. I heretic submit a replacement Financial lVarrann for the same <br />dollar amount as the Financial Warranty maintained by the current <br />operator. [understand that the Division of Minerals and Geology will <br />recalculate the required reclamation bond within 60-dacs from the date <br />that the transfer is completed and the required FNANCL4L <br />W.~RRANTY COULD BE SUBSTANTIALLY' INCREASED at that <br />time. As the new operator, [agree to be responsible for posting am• <br />required increase to the financial warranty for goad cause shown, in a <br />farm acceptable to the Board, within 60-dacs of such nonce. <br />~4r = 11171 <br />