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9 (FORM 2-Pttblicfiling) <br /> VIII. SIGNATURE REQUIREMENT <br /> Plea,w. place youinitials on the line provided: <br /> k' l/ 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 form. <br /> Jt v ry I have enclosed the required permit fee. <br /> 1 authorize the Division to contact and copy the BLM and/or USES on any correspondence related to the prospecting <br /> I operation,if the prospecting operation is located on federal public land. <br /> 1 have also enclosed the appropriate reclamation surety amount or will post an amount as determined by the office, <br /> based on the projected costs of reclamation. <br /> AO I understand that I am not authorized to create any surface disturbance until the surety amount is posted and approved <br /> in writing from the Division of Reclamation,Mining and Safety. <br /> kkt� i accept and agree to comply with the foregoing terms and conditions and with all of the provisions of Rules 3 and 5, <br /> and C.R.S.34-32-101. <br /> herby certify that concurrent with submittal of this NOI to the Division,I have sent notice to the Boards of County <br /> Commissioners in the Counties where the proposed activities will occur. This notice also indicated that non- <br /> confidential information regarding the proposed activities will be available for review at the Division's website. <br /> This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-113,C R.S.,of the Miffed Land <br /> Reclamation Act Any alteration or modification of this form shall result in voiding any NO]b"ned on the altered or modified <br /> foray and subject the operator to cease and desist orders and civil penaltics for operating without a N01 pursuant to section 34- <br /> 31-123,CR.S. <br /> 1,the undersigned.being the NOI holder or the=son authorized to sign on behalf of the NOT holder,declare that the information <br /> given in this NOI form is we and correct. <br /> SIGNATURES MUST HE IN BLUE INK <br /> Signed and dated this day of <br /> Signature of No <br /> of or person authorized t ign <br /> Name(typed or print) Martin D. LIB <br /> Title/Position: General Counsel North America <br />