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It)III Nt11 Fh�-'.1NZCl�r cci unagc, a iw ^ tow NIwcIst <br /> A One�Sile Prospecting Financial Warranty is usually filed by Individuals or companies <br /> where prospecting activities arc limited to a single area. it must be filed in the amount of <br /> $2,000 per acre for land to be disturbed,or such otheramount as determined by the Division, <br /> based on the projected costs of reclamation. A Statewide Financial Warranty is usually filed <br /> by companies with multiple prospecting sites. It must be filed in an amount equal to the <br /> estimated cost of reclamation per acre of affected land for all anticipated sites statewide. <br /> (You may increase the statewide hand at any time in order to cover additional or expanded <br /> prospecting activities.) <br /> Fill. SIGNATURE REQUIREMENT <br /> Please place your initials on the line provided: <br /> 1 hereby verify that the foregoing information is true and accurate and commit <br /> to the reclamation of the aforementioned prospecting site as required by the <br /> Colorado Mined Reclamation Act and the rules as specified in the (lard <br /> PLIA _ Rock/Metal Mining Rules and Regulations and this NOI form. <br /> ,M1A 1 have enclosed the required permit fee- <br /> 1 authorize the Division to contact and copy the BLM and/or USFS on any <br /> correspondence related to the prospecting operation, if the prospecting <br /> M:frA operation Is located on federal public land. <br /> 1 have also enclosed the appropriate reclamation surety amount or will post an <br /> I-W_A . amount as determined by the office.based on the projected costs of reclamation. <br /> I understand that I am not authorized to create any surface disturbance until the <br /> surety amount is posted and approved in writing from the Division of <br /> M1 p Reclamation,Mining and Safety. <br /> 1 accept and agree to comply with the foregoing terms and conditions and with <br /> j Y1eq all of the provisions of Rules 3 and 5,and C.R.S.34-32-101. <br /> I hereby certify that concurrent with submittal of this NOI to the Division,I have <br /> sent notice to the Boards of County Commissioners in the counties where the <br /> proposed activities will occur. This notice also indicated that non-confidential <br /> information regarding the proposed activities will he available for review at the <br /> Division's website. <br /> TM jmm has Bern approved by the Mined Land Reclamation Uoard pursuant to section 34-32.113,GRS., <br /> of the Mined land Reclamation Art Any alteration or modification of this form shall resetlt in voiding any <br /> NOI towed on the niterrd or modlfrd form and subject the operator to cruse and desist orders and civil <br /> penalties for opt1atrrr/1 u4thout a NOI prrnuant to stxtlon 34-32-123,GRS. <br /> twm 1 - !)RAM live wood Coodeevial File Page 13 0114 <br /> Of 1 <br />