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<br />(Form 2 - Public) <br />9 <br />VIII. SIGNATURE REQUIREMENT <br />Please place you initials on the line provided: <br />X 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 NO[ form. <br />X I have enclosed the required permit fee. <br />XI 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 />X 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 />X 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 />X I accept and agree to comply with the foregoing terms and conditions and with all of the provisions of Rules 3 and 5, <br />- and C.R.S. 34-32-101. <br />This form has been approved by the elfined Land Reclamation Board pursuant to section 34-32-113,C P.S., of the Mined Land <br />Reclamation Act. Any alteration or modification of this form shall result in voiding any N01 issued on the altered or nrodifred <br />form and subject the operator to cease and desist orders and civil penalties for operating without a I OI pursuant to section 34- <br />32-123, C.R.S. <br />1. the undersiS,ned, being the N01 holder or the person authorized to sign on behalf of the NOI holder, declare that the information <br />given in this NOT form is true and correct. <br />SIGNATURES MUST BE IN BLUE INK <br />Signed and dated this 8th _ day of August, 2008 <br />Signature of NOI holder or person authorized to sign: <br />'Oe"',?1404?.Z_";z- <br />Name (.typed or print) ,Michael Leidich, P . E . <br />Title/Position: Vice President <br />mst...s} rr? x :'.< a 3>:)7,(7 t1I .v? c7r;n -f'rz;.. Fry It.;+ t ?rsiE_ t.4)i_a'r r .Lttf ir7 ? tri'