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EXHIBIT G-Source of Legal Right to Enter <br /> Rule 6.3.7(Starts on Page 143 of the Rules) <br /> 1) Name of owner to the surface of affected land: <br /> Public Domain(BLM) National Forest(USFS) <br /> State F1 State Sovereign Lands <br /> Private(who): Harold &Sara Lessor <br /> Other(please describe): <br /> 2) Name of owner to the subsurface rights of affected land: <br /> M Public Domain(BLM) National Forest(USFS) <br /> F State F1 State Sovereign Lands <br /> V— Private(who): Harold &Sara Lessor <br /> M Other(please describe): <br /> 3) If mining is located on Bureau of Land Management Land (BLM) or U.S. Forest Service land(USFS) land <br /> the remaining section must be completed: <br /> i) Claimant: Claim is NOT BLM or US Forest Service Property <br /> ii) Serial Number: <br /> iii) List Name: <br /> iv) Address: <br /> v) Telephone: <br /> vi) Fax Number: <br /> 4) If the mining operation is located on private, state, or state sovereign lands, please provide a description of <br /> the basis for legal right of entry to the site and to conduct mining and reclamation for Owners of Record <br /> described in Rule 1.6.2(1)(e)(i). This may be a copy of access lease, deed, abstract of title, or a current tax <br /> receipt. A signed statement by the Landowner(s) and acknowledged by a Notary Public stating that the <br /> Operator/Applicant has legal right to enter and is also acceptable. <br /> 295796 06/17/2020 10:27 AM B: 984 P; 635 PERMIT <br /> Page 31 of 44 R $228.00 D <br /> $0.00 T $228.00 Clear Creek <br /> 1111 � pill11 1141 '1*2■�U'r + <br /> j K ��� Eli11111 <br />