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x (Form 2 - Public) <br />VIII. SIGNATURE REQUIREMENT <br />Please place your initials on the line provided: <br />I hereby verify that the foregoing information is true and accurate and commit to the reclamation of <br />the aforementioned prospecting site as required by the Colorado Mined Reclamation Act and the <br />rules as specified in the Hard Rock/Metal Mining Rules and Regulations and this NOI form. <br />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 <br />the prospecting operation, if the prospecting operation is located on federal public land. <br />I have also enclosed the appropriate reclamation surety amount or will post an amount as determined <br />by the office, 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 <br />posted and approved 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 <br />of Rules 3 and 4, 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, C.R.S., or the <br />Mined Land Reclamation Act. Any alteration or modification of this form shall result in voiding any NOI issued <br />on the altered or modified form and subject the operator to cease and desist orders and civil penalties for operating <br />without a NOI pursuant to section 34-32-123 C.R.S. <br />I the undersigned being the NOI holder or the person authorized to sign on behalf of the NOI holder, declare that the <br />information given in this NOI form is true and correct. <br />Signed and dated this / Jp day of ?rg <br />SiW2h lder r person authorized to sign: <br />Name (typed or print) Philip Buck <br />Title/Position: Vice President - Mining <br />SIGNATURES MUST BE IN BLUE INK <br />CADocuments and Settings\cwoodward\Desktop\Current TO DO\Sunday Misc\Sunday Phase 2 Exploration NOI & VH Amendment\NOI Form for Prospecting <br />Colorado - Form 2.doc