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i <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department cif Natural Ri:sourre,, / <br />1313 Sherman St., Room 215 <br />Dernver, Colorado 80203 r(,6e ?t? v COLORADO <br />J/ DIVISION OF <br />Phone: !3031 566-3567 &/\ RECLAMATION <br />FAX: (303) 832-81 06 MINING <br />I r - <br />RECEIVED $ii1 RV4ttar, [r. <br />Gow mrvr <br />juN IL p? a zooU p TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS ExcEir.(rr:<,utivwe > i71? recta' <br />C irrcaar <br />APPLICATION FORi4I c? <br />Ran:i•.,,Y W. f"ait_arry <br />Division of ReclamaUon,, Dpv sion Dfiecr()r <br />Mining and Safety N`art,r't, Rex;u t:e. 1"rusrcee <br />r <br />-. . <br />rim'. Z <br />The application for a Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Form; 2) <br />an Application Fee; 3) a Performance Warranty (attached as part of the Application Package) bearing the original notarized <br />signature of the Successor Operator; and, 4) a replacement Financial Warranty provided by the Successor Operator, bearing, an <br />original notarized signature. To expedite processing, please provide the information in the format and order described below. <br />1. FINANCIAL WARRANTY INFORMATION (Choose ONE Option): <br />I. Option A: I wish to WAIVE MY RIGHT to a 30-day processing time to allow the <br />(Initial & Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should not submit a <br />Financial Warranty and Performance Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* <br />08 <br />2. Option B: /'DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />(Initial & Date) hereby submit a replacement Financial Warranty for the same dollar amount <br />as the Financial Warranty maintained by the current operator. 1 understand <br />that the Division of Reclamation, Mining and Safety will recalculate the <br />required recla€natian bond within 60-days trorn the date that the transfar is <br />compli ted and the required f j,? Nt'I<A :.. _WAR NT_?t'.._?'.OULLD. BE <br />SLJBSTA v'r[AIj..Yl C.; I1_ASI;1) at that time. As th.e new operator, l agree <br />to be responsible for posting any required increase to the financial warranty <br />for good cause shown, in a form acceptable to the Board, within 60-days of <br />such notice. <br />Office of Office of <br />Mirtie.d ti+nd Rexiamation [:)etiver • Grand Junction • Durango <:ti e aria irrrctrYc: Kline,