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9 (Form 2- Public) <br />VIII. SIGNATURE REQUIREMENT <br />P \? you initials an tlta line pwvWed: <br />14 I her-by verify that the f reamg kIbmutdon is tree and accurate and commit to the reclamation of tbe <br />d pnnepecft site as required by the Colorado Mined Rechunatim Act and the cafes as specified in the <br />Hard RocddMdd Mmiag Wes and Remotions and this NOI foam. <br />I have enclosed the roWdr-od permit fee. <br />I aatl mbe the Division to contact and copy &c DIM and/or USFS on any oa moe wised AD the prosp=ng <br />operation, if the p mspectmg operation k located on federal public bud. <br />-? I bave also enclosed the appropriate recbmwo . surety amount or will post an amount as deed by the officei <br />based on the projected costs of rerlemation. <br />?I understand ffiat'l am-not aadwriwd to create any sartace disunbance until the surety amount is posted and approved <br />in writing fram the Division of Recce, Mining and Safety. <br />I.aaxgt and agree to fly with the fasegaag terms and coudidons and with aII of the p wvisions of Rules 3 and 5, <br />and C.R.S. 3432-101. <br />Mforan Amos bee oppmpad by flit Aimed Lamed Redmwaden Borodpa mint to snags 3"2-1,13. CRS, of de Mined Lard <br />RedcoadmAett Awy n er mvd#ImwqffaftldS fw= sAraA dt wrylVUl b ou tkraQt or n ad <br />fam and sweat dwoplaater to emrse and destmondes and cbff peaabn fbr opaaft a NOIPa m se dad 34- <br />32-IA CRS? <br />L the undersiMmA bgWg the NOT bolder or the peasoo auk to AN on behalf of the NOT holder declare that the information <br />givgn in this NOI form is true and correct <br />SIGNATURES URM BE 94 BLUE RM <br />Signed anddated this 7 dayof -?,E-ef-gFiga-ER 220? <br />stowme of NOT Kohler or person awed to sign <br />Name (typed orprint) 19imr,41X tIl C 1ZOS,Q <br />-rdw rositiow Ai 4q,/PJ(Sr AP-MA(-q_