2016-12-22_PERMIT FILE - P2016025

• Permit No: P2016025
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/22/2016
• Doc Name: Application
• From: CRG Mining NOI
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATfON,MINING AND SAFETY
Department of Natural Resources RECEIVE®
1313 Sherman SL,Room 215
Denver,Colorado 80203 DEC 2 2 2016 rC O L O R A D lr tViSION Of
Phone.[phone] RECLAMATION
FAX:[phone] DiV181)N OF RECLAMATION MINING
M'I m AVID SAFETY SAF ETY
ONE SITE PROSPECTING FINANCIAL WARRANTY
CHECK FOR DEPOSIT IN STATE TREASURY
Prospecting Financial Warranty No.
Notice of Intent No.
This form has been approved by the Mined Land Reclamation Board ("Board") pursuant to section 34-32-117,
C.R.S.,of the Colorado Land Reclamation Act. Any alteration or modification of this form, without approval by the
Board shall result in the financial warranty being invalid and result in the voiding of any permit issued in
conjunction with such invalid financial warranty, and subject the Prospector to cease and desist orders and civil
penalties for prospecting without a permit pursuant to section 34-32-123, C.RS, of the Colorado Land
Reclamation Act.
KNOW ALL MEN BY THESE PRESENTS,That we(1), l77,;9,:f ei L L C- ,
of the County of 6�Uhn i sv.L in the State of 6,010 as
Principal(s)are(am)held hereby and firmly bound unto the State of Colorado,acting through the Mined Land
Reclamation Board in the sum of Dollars($ of.G'L�C?�� )for the
payment of which sum,well and truly to be made, we(I)hereby bind ourselve(s),and each of our(my) legal
representatives,executors,administrators,successors and assigns,jointly and severally,firmly by these presents.
WHEREAS, the Principal has filed Notices of Intent to Conduct Prospecting Operations with the Board on the
premises indicated on the Notices of Intent filed with the Board which are attached hereto and thereby incorporated by
reference,to wit:
NOW, THEREFORE, the conditions of this obligation are such that if the above-bounded Principal shall, in
conducting such prospecting operations, faithfully perform the provisions of the Notices of Intent to Conduct
Prospecting operations filed or to be filed with the Board and the requirements of the plan to implement reclamation
measures to reclaim all of the lands affected throughout the State by such prospecting operations, approved and
modified by the Colorado Land Reclamation Act as amended, and the Rules and Regulations adopted pursuant
thereto; upon the Board making the finding that all of the lands described in the Notices of Intent to Conduct
Prospecting Operations filed or to be filed with the Board which are attached hereto and hereby incorporated by
reference have been satisfactorily reclaimed and approving the Prospector's request for a financial warranty release on
such lands, then this obligation shall be exonerated and discharged and become null and void; otherwise to remain in
full force and effect.
Office of Office of
Mined Land Reclamation Denver • Grand)unction • Durango Active and Inactive Mines