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VIII. SIGNATURE REQUIREMENT <br />Please place you initials on the line provided: <br />?s10 1 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 NOI form. <br />D J I have enclosed the required permit fee. <br />V 5 1 authorize the Division to contact and copy the BLM and/or USFS on any correspondence related to the prospecting <br />?... operation; if the prospecting operation is located on federal public Land. <br />D_5 ?V 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 i, <br />and C.R.S. 34-32-101. <br />Titis form lsas been approved by Me Mined Land Reclamation Board pursuant to section 34-32-113,0 &S., of the Mined Land <br />Reclamation Act Any alteration or modification of this form shall result in voiding any 1VOI issued on the altered or modified <br />fore: and subject the operator to cease and desist orders and civil penalties for operating without a NO/ pursuant to serlion 34- <br />32-123, C.R.S. <br />1. the undersigned, being the NOI holder or the person authorized to sign on behalf of the NO[ holder, declare that the information <br />given in this NOI form is true and correct. <br />SIGNATURES MUST BE IN BLUE INK <br />Sianed and dated this <br />19th <br />day of May, 2008 <br />Signature of NOI holder or person authorized to sign: <br />Name (.typed or print) _----- Don,. Hamilton._........._........ <br />....__. <br />Title/Position: Agent <br />atLh^flStt?7-{g1 I VzzO is 3 .'._i.._..._?3`'. _ (tWZ 'f7 <br />_?Kf)I Plts¢YCLEI3K r$IT?3. =_. 4 <br />?c