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STATE OF COLORADO <br /> DIVISION OF RECLAMATfON,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 rDIVISION O LORA D O <br /> o f <br /> TPhone:(303)866 3567 F ON <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> ONE SITE PROSPECTING FINANCIAL WARRANTY <br /> CHECK FOR DEPOSIT IN STATE TREASURY <br /> Prospecting Financial Warranty No. <br /> Notice of Intent No. <br /> This form has been approved by the Mined Land Reclamation Board ("Board") pursuant to section 34-32-117, <br /> C.R.S.,of the Colorado Land Reclamation Act. Any alteration or modification of this form, without approval by the <br /> Board shall result in the financial warranty being invalid and result in the voiding of any permit issued in <br /> conjunction with such invalid financial warranty, and subject the Prospector to cease and desist orders and civil <br /> penalties for prospecting without a permit pursuant to section 34-32-123, C.R.S., of the Colorado Land <br /> Reclamation Act. <br /> KNOW ALL MEN BY THESE PRESENTS,That we(1), <br /> of the County of , in the State of as <br /> Principal(s) are(am) held hereby and firmly bound unto the State of Colorado, acting through the Mined Land <br /> Reclamation Board in the sum of Dollars($ )for the <br /> payment of which sum, well and truly to be made, we(I)hereby bind ourselve(s),and each of our(my) legal <br /> representatives,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. <br /> WHEREAS, the Principal has filed Notices of Intent to Conduct Prospecting Operations with the Board on the <br /> pretnises indicated on the Notices of Intent filed with the Board which are attached hereto and thereby incorporated by <br /> reference,to wit: <br /> NOW, THEREFORE, the conditions of this obligation are such that if the above-bounded Principal shall, in <br /> conducting such prospecting operations, faithfully perform the provisions of the Notices of Intent to Conduct <br /> Prospecting operations filed or to be filed with the Board and the requirements of the plan to implement reclamation <br /> measures to reclaim all of the lands affected throughout the State by such prospecting operations, approved and <br /> modified by the Colorado Land Reclamation Act as amended, and the Rules and Regulations adopted pursuant <br /> thereto; upon the Board making the finding that all of the lands described in the Notices of Intent to Conduct <br /> Prospecting Operations filed or to be filed with the Board which are attached hereto and hereby incorporated by <br /> reference have been satisfactorily reclaimed and approving the Prospector's request for a financial warranty release on <br /> such lands, then this obligation shall be exonerated and discharged and become null and void; otherwise to remain in <br /> full force and effect. <br /> Office of Office of <br /> Mined Land Reclamation Denver - Grand]unction - Durango Active and Inactive Mines <br />