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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Rome 213 <br />Denver, Colorado 80203 <br />Phone: (303) 866.3567 <br />FAX: (303) 832 -8106 <br />STATE OF COLORADO <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />FORM 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES 'Re <br />CHECK ONE: b re is n NO umber Already Assigned to this Operation JUN 3 %Q <br />P' (Please reference the file number assigned to this operation) QI 14 <br />NEW New NOI <br />ViSIQNQF fi <br />Modification to an Existing NOI M�N/N�AN `ct'4i �Q <br />NOW P- (Provide for Modifications to an existing NOI) Q SAFF7 y N <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />I. GENERAL INFORMATION <br />1. DATE NOI RECEIVED BY THE DIVISION: (office use only) <br />2. PROJECT NAME: Garibaldi Waste Dump <br />8. PROSPECTOR: <br />'Thomas J. Wiens <br />Name: <br />Title: CEO <br />Company Name: New West Reclamation, LLC <br />Street: 919 Harrison Ave. <br />P.O. Box: 1798 <br />City. Leadville <br />State: Colorado <br />Zap Code: 80461 <br />Telephone Number: (303) 681 -9344 <br />Fax Number: (303) 681 -2117 <br />PERSON MLRB SHOULD CONTACT: <br />Name: H. Bruce Humphries <br />Title: President <br />Company Name: Regulatory Permits Management, Inc. <br />Street: 9050 Old Tom Morris Cir. <br />P.O. Box: <br />City: Highlands Ranch <br />State: Colorado <br />Zip Code: 80129 <br />Telephone Number. (303) 854 -7499 <br />Fax Number: <br />Field: 719- 486 -0119 No fax, e-mail: hlhumphries2 @comcast.net <br />9. APPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be <br />processed by the Division). <br />10. LOCATION INFORMATION: <br />County Lake <br />PRINCIPAL MERIDAN (check one) F141 6`s (Colorado) -D10t° (New Mexico) F (Ute) <br />SECTION (write number): S28 Waste dump sampling will also occur in Sections 19 and 21. <br />TOWNSHIP (write number and check direction) T 9 North South <br />Office of Office of <br />Mined Land Reclarnation Denver - Grand Junction - Durango Active and Inactive Mines <br />