2015-02-09_PERMIT FILE - P2014014 ‎(2)‎

• Permit No: P2014014
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/9/2015
• Doc Name: Application - Form 2 ‎(Public File)‎
• From: DRMS
• To: Daub & Associates Inc
• Email Name: THM
• Email Name: GRM
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203 !! "" _
Phone: [phone] i L, C N 2c, l
FAX: [phone] I
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-2014 -014 (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
COLORADO
D I V IS I ON OF
RECLAMATION
MINING
SAFETY
1. DATE NOI RECEIVED BY THE DIVISION: (office use only)
2. PROTECT NAME: Simple Oil LLC - Oil Shale RD &D Project
8. PROSPECTOR: PERSON MLRB SHOULD CONTACT:
Name: gob Warneke Name: Gerald Daub
Title: Director of Projects Title: President
Company Name: Simple Oil LLC
Street: 3200 Rio Blanco CR 31
P.O. Box: _
City: Rifle
State: CO
Zip Code: 81650
Telephone Number: (970) 355 -4590
Fax Number:
Company Name: Daub & Associates, Inc.
Street: 1985 1/2 South Broadway
P.O. Box:
City: Grand Junction
State: CO
Zip Code: 81507
Telephone Number: (970) 254 -1224
Fax Numberl970) 242 -8438
9. APPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be
processed by the Division).
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10. LOCATION INFORMATION:
County: Rio Blanco
PRINCIPAL MERIDAN (check one) Z6 1h (Colorado) 010`h (New Mexico) _a (Ute)
SECTION (write number): S 35 ❑
TOWNSHIP (write number and check direction) T 1 North= South ✓
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines