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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources RECEIV E® <br />1313 Sherman SI„ ROOT 21 j '.~~ <br />~ <br />Denver, Colorario 80203 ~ 203 <br />JUN + <br />L <br />Phone: (303) 856-3567 1 <br />FAS: p0.3i 832-a 106 ' <br /> Div'~sian of Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />- ~~~~~ <br />DEPARTMENT O <br />NATURAI <br />RESOURCE; <br />Roy Romer <br />Governor <br />James S. Lochhead <br />Execmive Direcor <br />Michael B. Long <br />Division Director <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) 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 format <br />and order described below. <br />Permit #: M-1978-222-IIG Confidental?: N <br />Class: Revision Type-Seq.: SO-4 <br />From: Fred W, Holley To: DMG <br />FINANCIAL WARRANTY INFORMATIOI Doc. Name: SO International IIranium to -red ?ic <br />Doc. Date (if no date stamp):06/17/03 Fred Holley <br />L Option A: rJ~ ~ -~•l~3 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. <br />2. Ootion B: I DO NOT WISH TO WAIVE 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 curtent <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 Boazd, within 60-days of such notice. <br />Novi N onE <br />