Laserfiche WebLink
(FORM 2-Publicfiling) <br />kyj i I W Cel. "I tl 11 *1 .7 al 1 1x,yl� <br />Please place you initials on the line provided: <br />I hereby verify 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 specified in the <br />Hard Rock/Metal Mining Rules and Regulations and this NOI rorm. <br />1LLC I have enclosed the required permit fee. <br />DV I authorize the Division to contact and copy the BLM and/or USFS on any correspondence related to the prospecting <br />✓� -, operation, if the prospecting operation is looted on federal public land. <br />1 have also enclosed the appropriate reclamation surly amount or will post an amount as determined by the office, <br />based on the projected costs of reclamation. <br />)ARVI understand that 1 am not authorized to create any surface disturbance until the surely amount is posted and approved <br />in writing from the Division or Reclamation, Mining and Safety. <br />I accept and agree to comply with the foregoing terms and conditions and with all of the provisions orRules 3 and 5, <br />}� and C.R.S. 3432-101. <br />Jam( 1 Viherby certify that concurrent with submittal of this NO[ to the Division, l have sent notice to the Boards of County <br />I T Con)missioners in the Counties where the proposed activities will occur. This notice also indicated that non - <br />confidential inronnation regarding the proposed activities will be available for review at the Division's website. <br />This form has been approved by the Misted Land Reclanradon Board pursuant to section 34-32-113, CAS:, of the Mined Land <br />Reclamation Act Any alteration or mod kadon ofthis farm shall result in volding any NUI Wised on the altered or mod yled <br />foray raid subject the operator to cease and desist orders and c' penalBesfor aperothrg without a NUI pursuant to section 34- <br />32-123, CR.S <br />l 1! F al -++ ��l' l ►/ l• +. s f.9l7;1 141 t -i• • Vt +l •.l.' 1 / t� �.� i� 1 I Vr11.•1 <br />SIGNATURES MUST 9E 1N BLUE INK <br />Signed and dated this � day of VA �q � <br />Signature of 7ko'to <br />person authorised get <br />�, � <br />` Martin D. Litt <br />Nair (typed or print) <br />-rtle/Position: General Counsel North America <br />