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A. If a bond is required, it must be furnished before approval of the plan of operations. <br />B. Information provided with this plan marked confidential will be treated in accordance with the agency's <br />laws, rules, and regulations. <br />C. Approval of this plan does not constitute certification of ownership to any person named herein and/or <br />recognition of the validity of any mining claim named herein. <br />D. Approval of this plan does not relieve me of my responsibility to comply with other applicable state or <br />federal laws, rules, or regulations. <br />E. If previously undiscovered cultural resources (historic or prehistoric objects, artifacts, or sites) are exposed <br />as a result of operations, those operations will not proceed until notification is received from the Authorized <br />Officer that provisions for mitigating unforeseen impacts as required by 36 CFR 228.4(e) and 36 CFR 800 <br />have been complied with. <br />F. This plan of operations has been approved for a period of or until (mm/dd/yy) . A new or <br />revised plan must be submitted in accordance with 36 CFR part 228, subpart A, if operations are to be <br />continued after that time period. <br />VIII. OPERATING PLAN ACCEPTANCE <br />❑I / We have reviewed and agreed to comply with all conditions in this plan of operations including the <br />required changes, modifications, special mitigation, and reclamation requirements. <br />❑I/p0/e understand that the bond will not be released until the Authorized Officer in charge gives written <br />approval. <br />Signature of (Authorized Officer) <br />VII. TERMS AND CONDITIONS <br />1 1 /7 igna ure of ! •pe'ator (or ❑Authorized Representative) <br />IX. OPERATING PLAN APPROVAL <br />g/t/ .(2()/- <br />(Date) <br />(mm /dd/yy) <br />(Name) (Title) <br />(Date) <br />(mm /dd/yy) <br />Burden and Non - Discrimination Statement <br />According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control <br />number. The valid OMB control number for this infomation collection is 0596-0022. The time required to complete this information collection is estimated to average 12 hours per response, <br />including the time for reviewing instructions, searching existing data sources, gathenng and maintaining the data needed, and completing and reviewing the collection of information. • <br />The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital <br />status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance. <br />(Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact <br />USDA's TARGET Center at 202 - 720 -2600 (voice and TDD). <br />To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632 -9992 (voice). TDD users <br />can contact USDA through local relay or the Federal relay at (800) 877 -8339 (TDD) or (866) 377 -8642 (relay voice). USDA is an equal opportunity provider and employer. <br />(If more space is needed to fill out a block of information, use additional sheets and attach form) <br />• -7- <br />