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rip E51 SERvict <br /> NOTICE OF INTENT USFS SOUTH PARK RANGER DISTRICT <br /> 4U4s <br /> FOR MINING ACTIVITIES Received By:— <br /> #nit�loE Pursuant to 36 CFR§228 Date Received: <br /> 15-day Response Date: <br /> / /J�f(Use of this form is optional) I <br /> Ie, a 4a4c do� y!_Q v <br /> /Wr . „ 40frai /Gl/ dice/0 <br /> declare my/our intent to nduct fining operatio n unpatented Nation Forest System Lands within the South <br /> Park Ranger District of the Pike National Forest.This <br /> mining activity will 12e in the forms of: <br /> • <br /> ihroPac/ fProspecting, Exploration, Devlopment, or Production <br /> Name: 444 J` //Irld/}il� pp <br /> �/G4fl ug& Phone Number: re4/ <br /> Mailing Address: /JO $max. 2 <br /> City:44yr i f boyoV tir State: e 0 Zip Code: a <br /> S'a / <br /> !�//d v <br /> Email: irk-+ <br /> Claim# Township Range Quarter <br /> Claim Name (North or (East or Section(s) Section <br /> South) West) (NE,SE, <br /> ZbY72I / or,/f�/.: �Z�' <br /> SW,NW) <br /> 7/it! 3 /Yld.sow <br /> Surface dis�}rbance res thi mining aacX04,1/ <br /> ctivity will be in he fo of: ,0;?4,r <br /> ev Asy <br /> Cuts,pits, trenches, drilling,shafts, tunneh tf.le cutting, ro /trail construction, tailings deposit, etc. <br /> Reclamation Plan: Al ie; hhet " C17 <br /> 7/fl vi/ <br /> b ..Estimated Acres of DisturbanceFper,aNas ari .ed q„a rn olavi4e04 <br /> i <br /> grabr/ baa �0 <br /> Work will be implemented by: 4441 %7,. c lv,4 f/G/�-.- ,.f . <br /> c/" ✓S` v <br /> pecifv handwork, ty e of tool and/or ma hinety, etc. <br /> Travel to the operation(s)will be by: P'i%e pkwe *o d is tP,% ‘P/ t../ / F✓'/O..Js.. <br /> Specify type of vehicle, foot travel, animal, etc. <br /> Owners of claims other than operator: 447.4.4.4 itii/4 r <br /> JOwl ( eho) <br /> List names and addresses of individuals, companies, etc. <br /> Proposed start-up date and duration of mining activities(mm/dd/yy):Z.a ser 7 <br /> ./ ZOAr... ( `q ,. 1X 2(3/4. <br /> SIGNATURE OF OPERATOR(S): <br /> Co/„ . ,, z U r . - - 04 IG a-f'/ZO G <br /> /r, (mm/dd/t y) <br /> 1 <br /> / �- 4r�.�,• 'L— (mm/dd/yy) <br /> **A Plan of Opens(form FS-2800-5)will he requiredfor all activities that involve machinery,tree felling,mad construction,and other <br /> activities that cause significant disturbance(36 CFR 228 4) <br /> ATTACH MAP TO NOTICE: Map must show mining claim,both road and off-road access to work <br /> site. Road access is shown in BLACK,off-road access is shown in BLUE, and proposed road and/or trail <br /> construction is shown in RED. <br />