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- "��/t&L' <br />STATE OF C0L©RlAjJU <br />DIVISIOR Of R[tAAm,%iwn, mtmi= ANu SAFETY <br />Dgmty eet of Natural Resou m <br />3 r 3 5hert(wR. Roan Z15 <br />Denver. Coloretlo 8023 <br />Mhoae: (303) 8663567 <br />FAX: 1303) 832.8106 <br />FORM 2 (Public Ale) <br />iwriu.L ur- LN-jL LNT TO CONDUCT PRuSrm; rINO OPERATIONS <br />f ux nAxu ROCK/METAL MINES <br />CHECK ONE: There is an NOI Number Atreaily Asstx..ed to this Operation <br />r_ (Please reference the tu...umber. assigned to this operation) <br />ew NOI <br />oautcadon m an Existing NOI <br />NOW P- (rz,jae to. moaut.Ations to an cxm— NU1) <br />GENERAL OPERATION iNri�MATION <br />Type or print dearly, in the space providid, At.r. inrormaton described below- <br />uxammAL <br />HOORMATION <br />DATE N <br />2. <br />Name: Garth Cooke <br />tide Owner <br />1:0uywuy Name: N A <br />street <br />P.O. Box: 9 5 <br />Warne <br />State: Nortn ua,.olina <br />ZTp Code: L t3 V U y <br />Tdepbow Number. 875-389-8845 <br />Fax Number: <br />DIVts.tIN Ur <br />RECLAMATION <br />MINItvO <br />SAFETY <br />Title: c-rinet7l t -n+ - <br />Company Name: -- !;A— <br />Street: 15292 6050 Ra <br />r.U.150JL: <br />city: Montrose <br />star: 01 nrado <br />G&F Cod.: U ice_ <br />Number: 970-249-2U81 <br />Fax Numb= same <br />9. AA,PKKATION FEE: $86. (NOU and mDaintatiu— .cyun. an 886 fee which muaa a.....�. w—j this notice or it taut be <br />ptoccom by the Division). <br />1o. LOCATION INFORMATION: All hole locations t o be held <br />county $aQ4.ache as confidential <br />rRINCIPAL MEMAN (checrt v—) LLo tGolorad_-) Glum (New rne..icv) 11(Ute) <br />JJ'.t: I LUN (-Late UUUdW): 5 <br />'1-OWNStur (w.ite number and check direction) r Nvrtn_n south <br />Office of OFfice of <br />mineo Lana Ike am M Dams • Grand )unction • fhuan'o Mire end Inactive Maes <br />