2014-10-15_PERMIT FILE - P2014020

• Permit No: P2014020
• IBM Index Class Name: Permit File
• Doc Date: 10/15/2014
• Doc Name: New NOI- Form 2
• From: Thomas G. Miller
• To: DRMS
• Email Name: TAK
• Email Name: MAC
• Media Type: D
• Archive: No

01
STATE oF cbLb o
DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED
Department of Natural Resources
1313 Sherman St.,Rom 215
Denver,Colorado 80203 /_ /7 (/ OCT •� �O,A C O L O P D O
Phone:[phone] •t D[v[S [o N o f
FAX:[phone] RECLAMATION
DIVISION OF RECLAMATION MINING
MINING AND SAFETY SAFETY
FORM 2 (Public File)
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS
FOR HARD ROCK/METAL MINES
CHECK ONE: There is an NOI Number Already Assigned to this Operation
P- (Please reference the file number assigned to this operation)
New NOI
Modification to an Existing NOI
NOI# P- - (Provide for Modifications to an existing NOI)
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided,ALL information described below.
I. GENERAL INFORMATION
1. DATE NOI RECEIVED BY THE DIVISION: (office use only)
2. PROJECT NAME:Silent Hill
8. PROSPECTOR. PERSON MLRB SHOULD CONTACT:
omas G. Miller
Name: Name: Thomas G. Miller
Title: Owner Title: Owner
Company Name: N/A -- Company Name: N/A
Street: 5260 Garrison St. #12 street: 5260 Garrison St. #12
P.O.(Box: N/A — P.O.Box: _N/A
City: Arvada city: Arvada -- -
State: CO State: CO
Zip Code: 80002
Zip Code: 80002
Telephone Number: 303-420-3606 Telephone Number: 303-420-3606
Fax Number:303-420-3606 Fax NumbeX3-420-3606
9. APPLICATION FEE: $86. (NOIs and modifications require an$86 fee which must accompany this notice or it cannot be
processed by the Division).
r
10. LOCATION INFORMATION:
County:Jefferson
PRINCIPAL MERIDAN(check one) Z6'h(Colorado)010t (New Mexico) . a(Ute)
SECTION(write number): S 32
TOWNSHIP(write number and check direction)T 9 North South_
Office of
Mined Land Reclamation Office of
Denver • Grand Junction • Durango Active and Inactive Mines