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T ?i <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Shemtan St., Room 215 <br />Denver, t:olorado 80203 <br />Rhone. !Y13? 866-356? <br />FAX: !303; 832-8106 <br />S b'01 <br />o <br />•µ' 19gS-03o z-? <br />STATE OF COLORADO <br />RECEIVED <br />OCT 14,2'008 ,?- <br />Division of reclamation, <br />- -1V . Mining and Safety rj <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />COLORADO <br />U I V I S I C7 N b F <br />RECLAMATION <br />MINING <br />SAFETY <br />Governor <br />Harris D. Shetw,. 1 <br />Ezwutivt• Dire:: car <br />Ran'lid 'N. Q14-Anv <br />Div:sw : Di:ec gar <br />af:rrai Res-,urre rustee <br />-la*-: A c4ee. cogs - , o n cw'\ oo -) V .' <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 />1. 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 />2. Option B: 06Z a/ •-d8 I 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 ReclarnatiOn. Mining and Safety will recalculate the <br />required reclarnat ort bond within 60-days t`om the dace that the t:: rsfe-r is <br />ccpmnieted and tlse required FINIA14CIAL WARRANTY COULD BE <br />SUN-S--ANTI _ LA-Y INCREASED at that time. As the new operator, l agrec <br />to be responsible for posting any required increase w 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 <br />:.Aimed t.arc; Rc?iamaticn <br />e.nver • Grand lunation G Mirargo <br />OffiC? of <br />:kom,- and Inactive ,nines