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;a Form 2 (Public Filing) <br /> ATI. SIG\ATtRE REQt'IRf[ENT <br /> Plea:.place you initials on the lrrt ptovtded <br /> I hereby veal!: that the foregoing rnfamanon. i: nue and accurate and commit to the reclamation of the <br /> aforemennoned pro:pecbng site as requued by the Colorado Mined Reclamation Act and the tide:a;specified in the <br /> :lard Rock Metal Mining Rule:and Regulation:and du;NOI form. <br /> I have enclosed the required permit fee. <br /> I authonre the Division to contact and copy the BLM and'or USFS on any correspondence related to the prospecrutg <br /> opetanon if the prospecting operation is located on federal public land. <br /> I hare alio enc:o;ed the appropriate reclamation:met::amount or will po:t an amount a:deternrwed by the office. <br /> based on the projected cost:of reclamation. <br /> - I understand that I am not authorized to cteate any surface dr:tmbanc•unnl the surety amount is posted and appto:•ed <br /> in wrznng now the Division of Reclamation.Mining and Safety <br /> I accept and agree to comply with the foregoing term;and condition:and with all of the proriaon:of Rule; 3 and 5. <br /> - <br /> and C R S 34-32-101. <br /> I herby certify that concurrent with submittal of dr;NOI to the Division.I have sent notice to the Board;of C ount%- <br /> Cotumt::ronms w the Counties whet. the proposed activities will occur This nonce also indicated that non, <br /> confidential information regarding the proposed actn-me:will be available tot teriew at the Durston s website. <br /> This form has been approved by the Mind Lend Reclamation Board pursuant to section JJ-31-113.C.R.S..of the Mined Land <br /> Reclamation Act. :lily alteration or modification of this farm shall result in voiding any NOI issued on the altered or modified <br /> form arid subject the operator to cease arid desist orders and cis-il penalties for operating'I ithout a NOI pursuant to section 3.:- <br /> .;.7-121. <br /> „;.-1:1.C It S. <br /> I.the under:I:ned.being the NOI holder or the oei;on authon.ed to sisn on behalf of the NOI holder.declare that the information <br /> Siren to tlu:NOI foul r:true and con ect <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this / 7 day of i��'/ w1�'G;,2i/ ' 7 . <br /> Signature of NOl holder or person authorized to;rgn: <br /> /G <br /> ,,i_______.)-(7 <br /> • <br /> Name(aped or Punt' David P McHugh <br /> Title Position: President <br />