2017-09-22_REVISION - P2016019 - Laserfiche WebLink

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A One-Site Prospecting Financial Warranty is usually filed by individuals or companies where prospecting activities are limited to a single area. It must be filed in the amount of $2,000 per acre for land to be disturbed,or such other amount as determined by the Division, based on the projected costs of reclamation. A Statewide Financial Warranty is usually filed by companies with multiple prospecting sites. It must be filed in an amount equal to the estimated cost of reclamation per acre of affected land for all anticipated sites statewide. (You may increase the statewide bond at any time in order to cover additional or expanded prospecting activities.) VUL SIGNATURE REQUIREMENT Please place your initials on the line provided: I hereby verify that the foregoing information is true and accurate and commit to the reclamation of the aforementioned prospecting site as required by the Colorado Mined Reclamation Act and the rules as specified in the Hard Rock/Metal Mining Rules and Regulations and this NOI form. I have enclosed the required permit fee. I authorize the Division to contact and copy the BLM and/or USFS on any correspondence related, to the prospecting operation, if the prospecting operation is located on federal public land. I have also enclosed the appropriate reclamation surety amount or will post an 1�l_ amount as determined by the office,based'on the projected costs of reclamation. I understand that I am not authorized to create any surface disturbance until the surety amount is posted and approved in writing from the Division of Reclamation,Mining and Safety. I accept and agree to comply with the foregoing terms and conditions and with all of the provisions of Rules 3 and 5,and C.R.S.34-32-101. I hereby certify that concurrent with submittal of this NOI to the Division,I have sent notice to the Boards of County Commissioners in the counties where the proposed activities will occur. This notice also indicated that non-confidential information regarding the proposed activities will be available for review at the 10�-f; Division's website. This farm has been approved by the Mined Land Redamation Board pursuant to section 34-32-113,GRS, of the Mined Land Redamathm Act Any alteration or mods ftcation of this fnrrn shall result in voiding any N01 issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties for operatinRg without a NOI pursuant to section 34-32-123,GR.S Form 2—Public File Page 13 of 14