Laserfiche WebLink
THE INFORMATION ON THIS PAGE DOES NOT NEED TO BE HELD CONFIDENTIAL <br />9 <br />"VIII. SIGNATURE REQUIREMENT <br />Please place you initials on the line provided: <br />_/??? I hereby verify that the foregoing information is true and accurate and commit to the reclamation of! the <br />aforementioned prospecting site as required by the Colorado Mined Reclamation Act and the rules as specified in the <br />Hard Rock/Metal Mining Rules and Regulations and this NO[ form. <br />oC? I have enclosed the required permit fee. <br />A t authorize the Division to contact and copy the BLM andlor USFS on any correspondence related to the prospectting <br />operation; if the prospecting operation is located on federal public land. <br />i <br />Ao- ? <br />_ I have also enclosed the appropriate reclamation surety amount or will post an amount as determined by the office, <br />based on the projected costs of reclamation. <br />I understand that I am not authorized to create any surface disturbance until the surety amount is posted and approved <br />in writing from the Division of Reclamation. Mining and Safety. <br />I accept and agree to comply with the foregoing terms and conditions and with all of the provisions of Rules 3 and S, <br />and C.R.S. 34-32-101. <br />Thls form lias been approved by the Mined Land Reclamation Board pursuant to section 34-32-113, C. R.S., of the Mined Land <br />Reclamation Act Any alteration or modification of tltis form shall result in voiding any 1V`0I lssued on the altered or madded <br />form and subject the operator to cease and desist orders and civil penalties for operating wit/lout a :60/ pursuant to section 34- <br />32123, C.R.S. <br />given in this NOI form is true and correct. <br />SIGNATURES MUST BE IN BLUE INK <br />I <br />Signed and dated this 0 day of JUIVE Z009 <br />Signature of NOI holder or person authorized to sign: JUL 0 7 2008 <br />/z' '-/ GRAND JUNCTIO3 ,4 HLLD OFFICE <br />DIVISION OF <br />---- 4?' ° --- ° RECLAMATION MINING & SAFETY <br />,or ?name f typed or print) <br />------- ----- - - <br />fitler'Position: V D g47 r :__tcniit ty re`,s: }r 7 Ci7-tt? 0 <br />f _yst'{x l'ry_ Lwttft nns`: iOl PrttbPucimg-_'!P-n. 37,24;07