2014-08-01_PERMIT FILE - M2014042 (3)

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VII. TERMS AND CONDITIONS A. If a bond is required, it must be furnished before approval of the plan of operations. B. Information provided with this plan marked confidential will be treated in accordance with the agency's laws, rules, and regulations. C. Approval of this plan does not constitute certification of ownership to any person named herein and/or recognition of the validity of any mining claim named herein. D. Approval of this plan does not relieve me of my responsibility to comply with other applicable state or federal laws, rules,or regulations. E. If previously undiscovered cultural resources (historic or prehistoric objects, artifacts, or sites) are exposed as a result of operations,those operations will not proceed until notification is received from the Authorized Officer that provisions for mitigating unforeseen impacts as required by 36 CFR 228.4(e) and 36 CFR 800 have been complied with. F. This plan of operations has been approved for a period of or until (mm/dd/yy) Anew or revised plan must be submitted in accordance with 36 CFR part 228, subpart A, if operations are to be continued after that time period. Vill. OPERATING PLAN ACCEPTANCE I/We have reviewed and agreed to comply with all conditions in this plan of operations including the required changes,modifications, special mitigation,and reclamation requirements. I/We understand that the bond will not be released until the Authorized Officer in charge gives written approval. Signature of Operator(orAuthorized Representative) (Date) (mm/dd/yy) IX.OPERATING PLAN APPROVAL (Name) (Title) Signature of(Authorized Officer) (Date) (mm/dd/yy) Burden and Non-Discrimination Statement According to the Paperwork Reduction Act of 1995,an agency may not conduct or sponsor,and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0022. The time required to complete this information collection is estimated to average 12 hours per response,including the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of infomtation. The U.S.Department ofAgriculture(USDA)prohibits discrimination in all its programs and activities on the basis of race,color,national origin,age,disability,and where applicable,sex,marital status, familial status,parental status,religion,sexual orientation,genetic information,political beliefs,reprisal,or because all or part of an individual's income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require aftemative means for communication of program information(Braille,large print audiotape,etc.)should contact USDA's TARGET Center at 202-720-2600( and TDD. more sW ice is needed to fill out a block of information,use additional sheets and attach form To file a complaint of discrimination,write USDA,Director,Office Of Civil Rights,1400 Independence Avenue,SW,Washington,DC 20250-9410 or call toll free(866)632-9992(voice). TDD users can contact USDA through local relay or the Federal relay at(800)877-8339(TDD)or(866)371-864Z lay voice). USDA is an equal opportunity provider and employer.