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DIVISION OF RECLAMATfON, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman SL, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />STATE OF COLO ZADO <br />RECEIVED <br />MAR 2 5 2014 <br />DIVISION OF RECLAMATION <br />MININGAND SAFETY <br />ONE SITE PROSPECTING FINANCIAL WARRANTY <br />CHECK FOR DEPOSIT IN STATE TREASURY <br />Prospecting Financial Warranty No. <br />Notice of Intent No. / "AGl t% — o <br /> <br />COLORADO <br />D I V I S I O N OF <br />RECLAMATION <br />MINING <br />SAFETY <br />This form has been approved by the Mined Land Reclamation Board ("Board') pursuant to section 34 -32 -117, <br />C.R.S, of the Colorado Land Reclamation Act. Any alteration or modification of this form, without approval by the <br />Board shall result in the financial warranty being invalid and result in the voiding of any permit issued in <br />conjunction with such invalid financial warranty, and subject the Prospector to cease and desist orders and civil <br />penalties for prospecting without a permit pursuant to section 34 -32 -123, C.R.S., of the Colorado Land <br />Reclamation Act. <br />KNOW ALL MEN BY THESE PRESENTS, That we (1), M A I $I L N1 I N I N1-1 t- OMPtltit �l i' G <br />of the County of <br />LC-44"L C, 12 t,L I>= in the State of <br />Principal(s) are (am) held hereby and firmly bound unto the State of Colorado, acting through the Mined Land <br />Reclamation Board in the sum of Ta'll lc<— /1-0 A'. 2, <br />as <br />Dollars ($ a 0 °' " ;? ) for the <br />payment of which sum, well and truly to be made, we (I) hereby bind ourselvc(s), and each of our (my) legal <br />representatives, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. <br />WHEREAS, the Principal has filed Notices of Intent to Conduct Prospecting Operations with the Board on the <br />premises indicated on the Notices of Intent filed with the Board which are attached hereto and thereby incorporated by <br />reference, to wit: <br />NOW, THEREFORE, the conditions of this obligation are such that if the above - bounded Principal shall, in <br />conducting such prospecting operations, faithfully perform the provisions of the Notices of Intent to Conduct <br />Prospecting operations filed or to be filed with the Board and the requirements of the plan to implement reclamation <br />measures to reclaim all of the lands affected throughout the State by such prospecting operations, approved and <br />modified by the Colorado Land Reclamation Act as amended, and the Rules and Regulations adopted pursuant <br />thereto; upon the Board making the finding that all of the lands described in the Notices of Intent to Conduct <br />Prospecting Operations filed or to be filed with the Board which are attached hereto and hereby incorporated by <br />reference have been satisfactorily reclaimed and approving the Prospector's request for a financial warranty release on <br />such lands, then this obligation shall be exonerated and discharged and become null and void; otherwise to remain in <br />full force and effect. <br />Office of Office of <br />Mined Land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines <br />