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`-~ -: -, <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />RECEIVED <br />131 3 Sherman SL, Room ?1 i p q q q 1. <br />Denver, Colorado 80?03 - MAR [ 2 2~U4 <br />Phone: 1303)866-3567 <br />fAX: (303183?~8t06 Division ~f Minerals and Geology <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br /> <br />D I V I S I O N <br />MINEEtP <br />&- <br />GEOLO <br />0.EZ LAMArI <br />MINING•SAF <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive Director <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-1998-052 Confidential?: N <br />Class: Revision Type/Seq.: SO-1 <br />From: Everist Materials, LLC To: DMG <br />Doc. Name: SO Rock Island Land Co to Everist Materials <br />I. <br />FINANCIAL WARRANTY INFORMA' Date: 03!22/2004 <br />Specialist: DDC <br />1. Option A: <br />(Initial & Date) <br />2. O lion B: 3 l°I`0~ <br />(Initial & Date) <br />I wish to WANE MY RIGHT to a 30-day processing time to allow <br />the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. Leyou choose Option A you should not submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the correct amount of your warranty requirements.* <br />I DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />time. I hereby subrnit 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 SUBSTANTIALLY 1~REASED at that <br />time. As the new operator; I agree to be responsible for posting an}~ <br />required increase to the fmarcial warranty for good cause shown, in a <br />form acceptable to the Eoard, within 60-days of such notice. <br />I/(9 /_ /V0~/~ <br />/~'~" ~ 722 <br />