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% 1 • r V <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 NOI form. <br />X I have enclosed the required permit fee. <br />I 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 Mined Land Reclamation Board pursuant to section 34-32-113,CR.S., of the Mined Land <br />Reclamation Act. Any alteration or modification of this form shall result in voiding any NOI Issued on the altered or modiJled <br />form and subject the operator to cease and desist orders and civil penalties for operating without a N01 pursuant to section 34- <br />32-123, CRS. <br />1, the undersigned. being the NOI holder or the person authorized to sign on behalf of the NOI holder. declare that the information <br />-given in this NOI 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 NOl holder or person authorized to sign: <br />Name (typed or print) Michael Leidich, P . E . <br />Title/position: Vice President <br />?,_??3tt???'`.vsf rrru?(7-s,?,_?1,-€}t „vs or?n.iE?g4g?ciin?.Jotsns`,3?kE)t Prc?pectna:?ao. 17124.4'7