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Vil. TERMS AND CONDITIONS
<br /> A. if a bond is required, it must be furnished before approval of the plan of operations.
<br /> B. Information provided with this plan marked confidential will be treated in accordance with the agency's laws,
<br /> rules,and regulations.
<br /> C. Approval of this plan does not constitute certification of ownership to any person named herein and/or
<br /> recognition of the validity of any mining claim named herein.
<br /> D. Approval of this plan does not relieve me of my responsibility to comply with other applicable state or federal
<br /> laws, rules,or regulations.
<br /> E. If previously undiscovered cultural resources(historic or prehistoric objects,artifacts,or sites)are exposed
<br /> as a result of operations,those operations will not proceed until notification is received from the Authorized
<br /> Officer that provisions for mitigating unforeseen impacts as required by 36 CFR 228.4(e)and 36 CFR 800 have
<br /> been complied with.
<br /> F. This plan of operations has been approved for a period of or until (mm/dd/yy) .A new or revised
<br /> plan must be submitted in accordance with 36 CFR part 228,subpart A,if operations are to be continued after
<br /> that time period.
<br /> VIII. OPERATING PLAN ACCEPTANCE
<br /> ❑l!L Ife have reviewed and agreed to comply with all conditions in this plan of operations including the required
<br /> changes,modifications,special mitigation,and reclamation requirements.
<br /> ❑I/ a unders nd th the bond will t be released until the Authorized Officer in c arge gives written
<br /> app oval. �(_ 1 i/020017
<br /> vvv
<br /> Signature of5pperator(or[]Authorized Representative) (Date)
<br /> _ _ ._ (mm/ddhy)IX.OPERATING PLAN APPROVAL
<br /> ios1 Vol rhi3 i)i51rI'd I e
<br /> (Name)) (Ti e)
<br /> :`,A 5 /1‘,/„.., - /1,/rzhoI?
<br /> /Signature of(Authorized Officer) (Date)
<br /> • (mm/ddlyy)
<br /> Burden and Non-Discrimination Statement
<br /> According to the Paperwork Reduction Act of 1995,en agency may not conduct or sponsor,end a person is not required to respond to a collection of information unless it displays a valid OMB control
<br /> number.The valid OMB control number for this Information collection is 0596-0022.The time required to complete this Information collection is estimated to average 12 hours per response,including
<br /> the time for reviewing instructions,searching.exissting date sources,gathering and maintaining the data needed,and completing and reviewing the collection of Information.
<br /> The U.S.Department of Agriculture(USDA)prohibits discrimination in all its programs and activities on the basis dram,color,national origin,age,disabiely,and where applicable,sex,marhal status,
<br /> familial status,parental status,religion,sexual orientation,genetic information,political beliefs,reprisal,or because all or part of an individual's income is derived from any public assistance.(Not all
<br /> prohibited bases apply to all programs.)Persons with disabilities who require alternative means for communication ot program information(Braille,large print,audiotape,etc.)should contact USDA's
<br /> TARGET Center at 202-720-2600(voice and TDD)
<br /> To file a complaint of discrimination,write USDA,Director,Office of Civil Rights,1400 Independence Avenue,SW,Washington,DC 20250-9410 or call toll free(866)632-9992(voice) TOD users can
<br /> contact USDA through local relay or the Federal relay at(800)877-8339(TDD)or(868)377-8642(relay voice).USDA is en equal opportunity provider and empto em
<br /> ECEt Vr,
<br /> NOV 072019
<br /> (If more space is needed to fill out a block of information,use additional sheets and attach form)
<br /> -12- South Park
<br /> Ranger District
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