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tD IAI L Ur LULU1V\llU <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources — <br /> 1313 Sherman St.,Room 215 .' C /, <br /> Denver,Colorado 80203 COLORADO S <br /> DIVISION O F <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> FORM 2 (Public File) <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br /> FOR HARD ROCK/METAL MINES <br /> RECEIVED <br /> CHECK ONE: There is an NOI Number Already Assigned to this Operation DEC 16 2014 <br /> P- - (Please reference the file number assigned to this operation) <br /> New NOI DIVISION OF RECLAMATION <br /> Modification to an Existing NOI MINING AND SAFETY <br /> NOI# P- - (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 <br /> 1. DATE NOI RECEIVED BY THE DIVISION: (office use only) <br /> 2. PROJECT NAME: <br /> 8. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name. Eustice .Lacher Name: Eustice Zacher <br /> Title: 0 w11GA. Title: Owner <br /> Company Name: Z'u4d't Company Name: Eustice Zacher <br /> Street: 804 30th Lane street: 804 30th Lane <br /> P.O.Box: P.O.Box: <br /> City: Pueblo City: Pueblo <br /> State: Coy-oar, State: Colorado <br /> Zip Code: 8!OO� Zip Code: 81006 <br /> Telephone Number: (719) 948-9473 Telephone Number: (719) 948-9473 <br /> Fax Number:(719) 948-9717 Fax Number(719) 948-9717 <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: C a s FCAL <br /> PRINCIPAL MERIDAN(check one) IR6 (Colorado)010th(New Mexico) (Ute) <br /> SECTION(write number): S25 <br /> TOWNSHIP(write number and check direction)T22 North South <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />