2015-11-30_PERMIT FILE - P2015021

• Permit No: P2015021
• IBM Index Class Name: PERMIT FILE
• Doc Date: 11/30/2015
• Doc Name: Application Form 2
• From: Michael Royer?
• To: DRMS
• Email Name: MAC
• Email Name: WHE
• Media Type: D
• Archive: No

DI
SION OF RECLAMATION, MINING AND SAFETY
t of Natural Resources
1313 Sherman St., Room 215
Den er, Colorado 80203
Phone: [phone]
FAX: [phone]
CHECK ONE:
SPATE OF COLORADO
P-2015-021
COLORADO
DIVISION OF
RECLAMATION
MINING
— &—
SAFETY
FORM 2 (Public File)
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS
FOR HARD ROCK/METAL MINES KECEIVr -
E
There is an NOI Number Already Assigned to this Operation
N7 f P- ZG! O Z/ (Please reference the file number assigned to this operation)
*mos New NOI
Modification to an Existing NOI
NOI# P- - (Provide for Modifications to an existing NOI)
NOV 3 0 ZOIC
DIVISION OF REV
MINING AND E,
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
I.
GENERAL INFORMATION
1. )ATE NOI RECEIVED BY THE DIVISION: (office use only)
'ROJECT NAME: LGPD2-2
2.
8. iPROSPECTOR:
Name:
MICHAEL ROYER
�fitle:
`✓ompany Name:
Street:
P.O. Box:
City:
State: CO
23
VILLA GROVE
ip Code: 81155
Telephone Number: [phone]
Fax Number:
PERSON MLRB SHOULD CONTACT:
Name: JOHN CROWLEY
Title:
OPERATOR
Company Name:
Street: 382 MCARTHUR DR
P.O. Box:
City: LONE TREE
State: CO
Zip Code: 80124
Telephone Number
Fax Number:
[phone]
9. ,IPPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be
processed by the Division).
10. 40CATION INFORMATION:
County: PARK
PRINCIPAL MERIDAN (check one) ❑ 6th (Colorado) 010th (New Mexico) a (Ute)
SECTION (write number): S / 7
TOWNSHIP (write number and check direction) T 12 North South rI
Mined
Office of
Land Reclamation Denver • Grand Junction • Durango
Office of
Active and Inactive Mines