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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C O L O R A D O <br /> Denver,Colorado 80203 D : V I S 1 O N D F <br /> Phone:(303)866.3567 MCLAMATION <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> FORM 1 <br /> All information for DBMS use and confidential filing <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br /> FOR HARD ROCK/METAL MINES <br /> CHECK ONE: There is an NOI Number Already Assigned to this Operation <br /> P- (Please reference the file number assigned to this operation) <br /> New NO[ <br /> Modification t xisting NOI <br /> P-ZOO (Provide for Modifications to an existing NOI) <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,ALL Information described below. <br /> I. GENERAL INFORMATION NO CHANGES TO THIS SECTION <br /> l. DATE NOI RECEIVED BY THE DIVISION: (office use only) <br /> 2. PROJECT NAME: AMSO RD&D Oil Shale Project <br /> 3. PROSPECTOR: PERSON'MLRB SHOULD CONTACT: <br /> Name: Name: <br /> Title: Title: <br /> Company Name: Company Name: <br /> Street: Street: <br /> P.O. Box: P.O.Box: <br /> Citv: Citv: <br /> State. State: <br /> Zip Code: 7ip Code: <br /> Telephone Number. Telephone Number: <br /> Fax Number: Fax Number: <br /> 4. APPLICATION FEE: S86. (NOIs and modifications require an S86 fee which must accompany this notice or it cannot be <br /> processed by the Division). <br /> _. LOCATION INFORMATION: <br /> County <br /> PRINCIPAL MERIDAN(check one) a6"(Colorado)010"(New Mexico) -0(Ute) <br /> SUCTION(wnte number): S <br /> Office of Office of <br /> Mined Land Reclamation Denver - Grand Junction • Durango Active and Inactive Mines <br />