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TATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources RECEIVED <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 p?pgvJ L JUL 12009 <br />FAX: (303) 832-8106 „^Id <br />Division of Reclamation, <br />Mining and Safety <br />ONE SITE PROSPECTING FINANCIAL WARRANTY <br />CHECK FOR DEPOSIT IN STATE TREASURY a--' -74 <br />Prospecting Financial Warranty No. <br />Notice of Intent No. P-2-00(l -000/ <br />COLORADO <br />D IV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />rnvernor <br />Harris D. Sherman <br />Executive Director <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />This form has been approved by the Mined Land Reclamation Board ("Board') pursuant to section 34-32-117, <br />C.R.S., of the Colorado Land Reclamation Act. Any alteration or modification of this form, without approval by the <br />Board shall result in the financial warranty being invalid and result in the voiding of any permit issued in <br />conjunction with such invalid financial warranty, and subject the Prospector to cease and desist orders and civil <br />penalties for prospecting without a permit pursuant to section 34-32-123, C&S, of the Colorado Land <br />Reclamation Act. w ? ie , ?£ F£ r-rla/v Ze4C <br />KNOW ALL MEN BY THESE PRESENTS, That we (I),.: 1____ <br />of the County of & , in the State of ?f D <br />as <br />Principal(s) are (am) held hereby and firmly bound unto the State of Colorado, acting through the Mined Land <br />Reclamation Board in the sum of 7w- a 7FlollSA&D Dollars ($ ADD ) for the <br />payment of which sum, well and truly to be made, we (I) hereby bind ourselve(s), and each of our (my) legal <br />representatives, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. <br />WHEREAS, the Principal has filed Notices of Intent to Conduct Prospecting Operations with the Board on the <br />premises indicated on the Notices of Intent filed with the Board which are attached hereto and thereby incorporated by <br />reference, to wit: <br />`.l <br />of <br />NOW, THEREFORE, the conditions of this obligation are such that if the above-bounded Principal shall, in <br />conducting such prospecting operations, faithfully perform the provisions of the Notices of intent to Conduct <br />Prospecting operations filed or to be filed with the Board and the requirements of the plan to implement reclamation <br />treasures to reclaim all of the lands affected throughout the State by such prospecting operations, approved and <br />modified by the Colorado Land Reclamation Act as amended, and the Rules and Regulations adopted pursuant <br />thereto; upon the Board making the finding that all of the lands described in the Notices of Intent to Conduct <br />Prospecting Operations filed or to be filed with the Board which are attached hereto and hereby incorporated by <br />reference have been satisfactorily reclaimed and approving the Prospector's request for a financial warranty release on <br />such lands, then this obligation shall be exonerated and discharged and become null and void; otherwise to remain in <br />full force and effect. <br />Office of <br />Mined Land Reclamation <br />Denver • Grand Junction • Durango <br /> <br />Office of <br />Active and Inactive Mines