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<br />M-jqp?113 ? <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 0 COLORADO <br />Denver, Colorado 80203 DIVISION O F <br />Phone: (303) 866.3567 / RECLAMATION <br />FAX: (303)832.8106?? MINING <br />SAFETY <br />G?? vI TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS Bill Ritter, Jr. <br />J? ? Governor <br />%\ 1 APPLICATION FORM Harris D. Sherman <br />1 ' Executive Director <br />Ronald W. Cattany <br />/J . Division Director <br />y L Natural Resource Trustee <br />The application for a Transfer of Permit and Succession of Operators must contain ffoou't (4) maj of parts: I) 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 />I. 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 Warrantyuntil the Division notifies you <br />of the correct amount of your warranty requirements.* <br />2. Option B: 3 23 -(N - 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. 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 WARRAN'T'Y 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 />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines