Fillable Form Yg(5062q) F2 - Assignment Of Operating Plan printable pdf download

Form Yg(5062q) F2 - Assignment Of Operating Plan

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QUARTZ MINING LAND USE REGULATION

ASSIGNMENT OF OPERATING PLAN

Energy, Mines and Resources

Version française

Class:

Expiry Date:

Approval #:

NTS#:

Agreement between:

The Assignor:

and

The Assignee:

NAME _____________________________

NAME ______________________________

ADDRESS __________________________

ADDRESS ___________________________

CITY ______________________________

CITY________________________________

POSTAL CODE ______________________

POSTAL CODE _______________________

TELEPHONE # ______________________

TELEPHONE # _______________________

FAX # _____________________________

FAX # ______________________________

EMAIL _____________________________

EMAIL ______________________________

This agreement acknowledges that in consideration of the sum of __________________________dollar(s) and other good

and valuable consideration as paid by the Assignee to the Assignor, the Assignor assigns, transfers and sets over to the

Assignee all interest in Operating Plan #_____________ entered in the Public Register of the Mining Land Use Division as:

Undertaking by Assignee

The Assignee covenants with the Assignor that ASSIGNEE will comply with the specific terms and conditions contained in the

Operating Plan, a copy of which is attached to this instrument and further, to comply with all provisions in the QUARTZ Mining

Land Use Regulation and, in particular, the Operating conditions governing the reclamation of land-based mining activities.

Effective Date

As per Section 17. (1) of the QUARTZ Mining Land Use Regulation , both the Assignor and Assignee acknowledge

that this Assignment, signed and filed in the Mining Land Use office this_____of _______________,20____with the

applicable fees, will be approved within 25 days of receipt , unless otherwise advised by the Chief.

___________________________ ____________

(Assignor)

(date)

(Assignee)

(date)

Dated this day __________ of ___________________________ ,20 _________ .

_______________________________________________________________

Chief Mining Land Use

Access to Information and Protection of Privacy Act

The personal information requested on this form is collected under the authority of and used for the purpose of administering the Placer Mining Act. Questions

about the collection and use of this information can be directed to the Mining Recorders Office, Mineral Resources, Department of Energy, Mines and

Resources, Yukon Government, Box 2703, Whitehorse, Yukon Territory, Y1A 2C6 (867) 667-3190.

Security:

Yes

No Amount: $ _________

Office use only

YG(5072Q) F2 04/2003

Clear