2021-05-26_PERMIT FILE - P2021011

• Permit No: P2021011
• IBM Index Class Name: Permit File
• Doc Date: 5/26/2021
• Doc Name: Application
• From: Casey Evans
• To: DRMS
• Email Name: ERR
• Email Name: JDM
• Email Name: AWA
• Email Name: SMS
• Media Type: D
• Archive: No

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ADDITIONAL TERMS AND CONDITIONS FOR EXPLORATION ON BLM LANDS
1. The explorer will supply a copy of this Notice of Intent to the BLM office.
2. The explorer authorizes the MLRB to discuss the information in this Notice of Intent with the BLM.
3. The explorer will complete reclamation to the standards described in 43 CFR 3809.1-3(d)and that reasonable measures
will be taken to prevent unnecessary or undue degradation of lands during operations.
The undersigned understands,accepts,and agrees to comply with the foregoing terms and conditions.
Signature of xplorer/Claimant Dat
M;?ni1n�Sllafe\VSfOnTiS o7 i?7 0{ vsforntsUNospecting Forms'NOT Exploration App.doe 07/24i2007