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_ STATE CIF COLOR <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman Si,Room 215 <br /> Denver,Cdorado$0203 r11M <br /> L O R A D O <br /> Phone:(303)$66.3567 V i S 1 0 N O F <br /> FAX:(303)832-8106 LAMATION <br /> INING <br /> SAFETY <br /> ONE SITF,PROSPECTING FINANCIAL WARRANTY <br /> CHFCK FOR DEPOSIT tN STATF TREASURY <br /> Prospecting Financial Warranty No.. <br /> Notice of Intent No. <br /> This form has been approved by the Mined Land Reclamation Board ("Board') pursuant to section 34-32-117, <br /> GR.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), <br /> of the County of ,in the State of <br /> as <br /> Ptincipai(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 Dollars(S )for the <br /> payment of which sum,well and truly to be made, we(I)hereby bind ourselve(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 arc 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 ail 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 arc 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 Junction • Durango Active and inactive Mines <br />