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STA~~ of coLo~Do <br />DIVISION OF MINERALS AND GEOLOGYRICIsEIVEg~ <br />Department of Natural Resources <br />1313 Sherman SL, Ronm 21 i <br />Denver, Colorado 80203 <br />Phone: 13031 8n6-3iG7 <br />fAX~, (3U3r 83"?-ri106 <br />MAR 21 2003 <br />Division of Minerals and Geology <br />TRANSFER OF PERMIT AND <br />APPLICATION FORM <br />RECEIVED <br />APR 2 1 2003 <br />Division of Minerals and Geology <br />i OF OPERATORS <br />DEPSRTyIENT OF <br />NATURAT <br />RESOURCE <br />Ray Romer <br />Gaverna <br />dames 5. Lochheari <br />Ezrcutire Director <br />Michael e. Long <br />Di.rsion Director <br />The application for a Transfer ofPermit 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 />notazized 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 />FINANCIAL R'ARRANTY INFORMATION (~} <br />Permit #: N-t -(445- d47 Confidental?: ~ <br />Class: Re~Jrsia-+^ Type-Seq.: Soil <br />From: ~>~ 3mu.~(erf'(i.ie Ca-~To: b tYlf~ <br />Doc. Name:SD Ilir4l } * Prwxh ~Fo FJe..~ Sns-r.-~4lex <br />Doc. Date (if no date stamp): 3/at to <br />Rr~Ceipl~ 45(5 81DD~oa <br />1. O lion / x 7 ~m3 I wish to WAIVE MY RIGHT to a 30-day processing time to aliow <br />(initial & Date) the Division of Minerals and Geology to recalculate the Financial <br />Warranty requirements. <br />2. O do I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing <br />(Initial & Date) time. 1 hereby submit a replacement Financial Warranty for the same <br />dollar amount as the Financial Warranty maintained by the current <br />operator. 1 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 fo the femancial warranty for good cause shown, in a <br />form acceptable to the Board, within 60-days of such notice. <br />NoVLlvow~ <br />~~=II1403 <br />