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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Depanment of Natural Resources RECEIVED <br /> 1313 Sherman Si.,Room 215 C O L D RA D O <br /> Denver,tAlorado 80203 MAY 2 7 2016 n t v t s t o H o F <br /> Phone:1303)866-3567 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> DIVISION OF RECLAMATION SAFETY <br /> F,N�ININ i!�SAFETY ) <br /> UUKRIVM! LL Public File <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br /> FOR HARD ROCK/METAL NUNES <br /> CHECK ONE: _P_There is an NOI Number Already Assigned to this Operation <br /> .... 8&029 (Please reference the file number assigned to this operation) <br /> P-201 S-01 �gew NOI <br /> od[fication to an Existing NOI <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:Mineral Mountain Gold LLC <br /> 8. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Lance Barker <br /> Name: Name: Lance Barker <br /> Title: President Title; President <br /> Company Name: Mineral Mountain Gold, LLC Company Name: Mineral Mountain Gold, LLC <br /> Street: ""' Street: — <br /> P.O.box: P.O. Box 247 P.O.Box P.O. Box 247 <br /> City: Cripple Creek City: --Cripple Creek <br /> StateColorado State: Colorado <br /> Zip Code: 80813 Zip Code: 80813 <br /> Telephone Number: (719)689-5965 Telephone Number: (719)689-5965 <br /> Fax Number: Fax Number. <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:Teller <br /> PRINCIPAL MERIDAN(check one) ja6mh(Colorado)010h(New Mexico) fi(Ute) <br /> SECTION(write number): S <br /> TOWNSHIP(write number and check direction)T 15 North South_ <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />