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e Tb: ~JMG ,~ <br />DIV1510N OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 21 i <br />Denver, Colorado 802D3 <br />Phone: (303) 866-3567 <br />FAX: (3D31 63? -8106 <br />Mq~c~~VFO <br />r <br />O/~rs~on ~f~'no a a , / <br />~~ V <br />TR4..NSFER OF PERMIT AiVD SUCCESSION OF OPERATORS ~e%~, <br />APPLICAT30N FORM ~ <br /> <br />Drvtsio,~ <br />MINERA <br />&- <br />GEOLO <br />aE-cLnnnri <br />MINiNG~$A FE <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive 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 Ferfamiance 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 />I. FINANCI4I. W ARRANTY INFORMATION (Choose ONE Ontian): <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. Ifyou choose Option A you shquld ~ submit <br />a Financial Warranty and Performance Warranty until the Division <br />notifies you of the coaect amount of your warranty requirements.' <br />2 Option B: cJ oS-o\-u1jI DO NOT WISH TO WANE MY RIGHT to a 30-day processing <br />(Inr al & 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 SUBSTANTIALLY INCREASED at that <br />time. As the new operator; I ogee 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 Eoard, within 60-days of such notice. <br />~F :312 j~~+ <br />°~ Z / <br />STATE OF COLOR.~SDO <br />