Sd Eform - 0490 - Surety Bond - South Dakota

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SD EForm - 0490
V1
HELP
STATE OF SOUTH DAKOTA
SURETY BOND
Bond Number ____________________________
Permit or License Number _________________________
Mine License ___
Mining/Milling Permit ___
Exploration Notice of Intent ___
Uranium Exploration Permit ___
KNOW ALL MEN BY THESE PRESENTS, That we (I) _______________________________________________________________
as Principal, and ____________________________________________________________________________________________ a
corporation organized and existing under the laws of the State of _________________________________ and duly authorized to transact
business in the State of South Dakota as surety, are held and firmly bound unto the State of South Dakota, acting through the
South Dakota Board of Minerals and Environment, in the sum of _______________________________________________________
($________________________________) dollars, for payment of which sum, well and truly to be made, we bind ourselves, and each of our
legal representatives, heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has received a Permit or License from the South Dakota Board of Minerals and Environment to conduct
mining activities on the following described premises:
___ State-wide Mining
___ See Attachment listing legal description to be mined
(Enter legal locations on last page)
NOW, THEREFORE, The conditions of this obligation are such that if the above bounded Principal shall, in conducting the above described
operations faithfully perform the requirements of the permit or license, reclamation plan, operating plan, SDCL Chapter 45-6, 45-6B, 45-6C,
and 45-6D relating to mining, exploration, and uranium exploration, as applicable, and the Rules and Regulations adopted pursuant thereto,
then this obligation shall be exonerated and discharged and become null and void; otherwise it will remain in full force and effect.
PROVIDED, However, the Surety shall not be liable under this bond for an amount greater in the aggregate than the sum designated in the
first paragraph hereof and provided by SDCL 56-2-12.
The Principal and Surety under this agreement hereby acknowledge that under the provisions of SDCL 34A-10-2.2 and 34A-10-2.3, all right
and title to any surety bond shall be held by the State until such time as the Board, by order releases the surety bond. Such surety bond
does not constitute an asset of the person required to provide it, and may not be canceled, assigned, revoked, disbursed, replaced or
allowed to terminate without Board approval. This surety bond may not be assigned for the benefit of creditors, attached, garnished, levied
or executed on, or subject to process issued from any court except for the purpose of enabling the State to effectuate environmental
cleanup or remediation.
I declare and affirm under the penalties of perjury that this claim (petition, application, information) has been
examined by me, and to the best of my knowledge and belief, is in all things true and correct.
__________________________________________________
______________________________________________
Principal's Signature
Principal's Mailing Address
Principal’s Title: _____________________________________
Date: _________________________________________
_____________________________________________________
_______________________________________________
Surety Company
Surety’s Mailing Address
_________________________________________________
Signed and Sealed this Date: ________________________
Surety Executed By
(SURETY'S SEAL)
STATE ACCEPTANCE
The South Dakota Board of Minerals and Environment accepts this surety bond in the amount of $________________________________
_______________________________________
__________________________________________________
Chairman, SD Board of Minerals & Environment
Date
1.
PRINT FOR MAILING
CLEAR FORM
Surety_Bnd.doc

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