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61A Kliot) <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department aaNatural Resources <br />1313 Sherman SL, Room 215 <br />Denver, Colorado 80203 <br />Phone: f303) 866-3567 <br />FAX: (303) 832 -0106 <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />The application fora Transfer of Permit and Succession of Operators must contain four (4) major parts: 1) an Application Fenn; 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 />Mined Land Reclamation <br />u�v <br />'0 ;..Y s (Choose ONE Option): <br />m- 200z/ -o/3 <br />STATE OF COLORADO <br />SOP <br />COLORADO <br />D r Y I f 1 0 N O F <br />RECLAMATION <br />MINING <br />SAFT:TY <br />) <br />1.0 ti I wish to WAIVE MY RIGI1T to a 30 -day processing time to allow the <br />niu• Date) Division of Reclamation, Mining and Safety to recalculate the Financial <br />Warranty requirements. If you choose Option A you should got submit a <br />Financial WarrantyandPerfonnance Warranty until the Division notifies you <br />of the correct amount of your warranty requirements.* , <br />2. tion B! <br />& Date) ° <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />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, l agree <br />to be responsible for posting any required increase to the financial warranty <br />for good cause shown, in a fonn acceptable to the Board, within 60 -days of <br />such notice. <br />Office of Office of <br />Denver • Grand Junction • Durango Active and Inactive Mines <br />NOV Y <br />9 /. /Zo/ <br />RECE1vFi <br />JUL 0 8 2011 <br />Division of Reclamation, <br />Wining and Safety <br />