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<br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 RECEIVED C O L O RA D O <br />Denver, Colorado 80203 D I V I s 1 o N o f <br />Phone: (303) 866-3567 p Z? JAN 2 3 2008 ? RECLAMATION <br />FAX: (303) 832-8106 MINING <br />...... .;, c tclamation, SAFETY <br />Vn Mining and Safety +./ <br />y ' (? Bill Owens <br />Governor <br />f 1 TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Russell George <br />APPLICATION FORM Executive Director <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <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 v Al V E 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.O tion $; ` -q-0 ? 1 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. I understand <br />that the Division of Reclamation, Mining and Safety will recalculate the <br />required reclamation bond within 60-days from the date that the transfer is <br />completed and the required FINANCIAL WARRANTY COULD-BE <br />SUBSTANTIALLY INCREASED at that time. As the new operator, I 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 />Nod ` nlm'e <br />s <br />AlE l?Lq ' 313ola00 <br />- Office of <br />Office of Active and Inactive Mines . <br />Mined Land Reclamation.