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(FORM 2 - Publiefiling) <br />Please place you initials on dw line provided: <br />I hereby verity that the foregoing information is true and accurate and commit to the reclamation of the <br />aforementioned prospecting site as required by the Colorado Mined Reclamation Act and the rules as speeded in the <br />Hard RockNeW Mining Rules and Regulations and this NOI form. <br />I have enclosed the required permit fen. <br />nmLA I outitortiax the Division to contact and copy the BLM srWor USFS on Pay consportdence related to the prospecting <br />operation, if the prospecting opera ion is located on federal public land. <br />AWI have also enclosed the appropriate reclamation surety amount or will post an amount as determined by the offick <br />based on the projected costs of reclamation. <br />I understand that I am not authorized to create any surface disturbance until the surety amount is pasted and approved <br />in writing from the Division of Reclamabon, Mining and Safety. <br />]a and agree to comply with the foregoing terms and conditions and with all of the provisions of Rules 3 and S, <br />and C.R.S. 34 -32- 101. <br />I herby certify that concurrent with submittal of this NOI to the Division, I have sent notice to the Boards of County <br />Commisdoners in the Counties where the proposed activities will occur, This notice also indicated that non - <br />confldential information regarding the proposed activities will be available for review at the Division's website. <br />T us form has been mpreved by the Mined Ladd Ridamadmi /ioand pwaaant to secdom N -3:41A CR&, of (he Ad'ttnn/ Lewd <br />IfedoweAm Aea Any shmadeu or wroAfteHaw of r" fiW it andf MAIN In v*A#OZ MY NOI Land on the dared or rmo f§W <br />forsr and srtbjerr d w gperatw to cease and dale orders and t'lvN pmaidos for opaadng wftkomt a NOl pnrtrraat to seeder 34- <br />_ 1. ..1,�.-1�7 4.c• - 11 ♦ � • ..t:.1_.7• �•! •!I '.iL'i. i 1.7 _ .. 1. $: ` L. !! •, i'I _. tit <br />SIGNA7W"S MUST BE E4 BLUE INK <br />Signed and dated the me' - , day of a 6. <br />Sigimm ofNOI hddcr or parson authorized to sign: <br />