2016-08-08_PERMIT FILE - P2016011 ‎(3)‎

• Permit No: P2016011
• IBM Index Class Name: Permit File
• Doc Date: 8/8/2016
• Doc Name: Revised Form 2
• From: Mineral Mountain Gold LLC
• To: DRMS
• Email Name: WHE
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
RECEIVED
1313 Sherman St., Room 215
Denver, Colorado 80203
AUG O S 2016
C O L O P&LA D O
DIVISION OF
Phone: [phone]
TIRELNIFAX:
0031832-8106
MIG
DIVISION OF RECLAMATION
&—
EMININGANDSAFETY SAFTY
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
(Please reference the file number assigned to this operation) P 201 In O 11
New NUI
Modification to an Existing NOI
NOV P- (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
1. DATE NOI RECEIVED BY THE DIVISION: (office use only)
2. PROJECT NAME: Mineral Mountain Gold LLC
8. PROSPECTOR:
Name:
once Barker
Title: President
Company Name: Mineral Mountain Gold, LLC
Street: -----
P.O. Box: P.O. Box 247
City: Cripple Creek
State: Colorado
Zip Code: 80813
Telephone Number: [phone]
Fax Number.
PERSON MLRB SHOULD CONTACT:
Name: Lance Barker
Title: President
Company Name: Mineral Mountain Gold, LLC
Street: -----
P.O. Box: P.O. Box 247
City: —Cripple Creek
State: Colorado
Zip Code: 80813
Telephone Number. [phone]
Fax Number:
9. APPLICATION FEE: 886. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be
processed by the Division).
r
10. LOCATION INFORMATION:
County: Teller
PRINCIPAL MERIDAN (check one) EL6'h (Colorado) 010`h (New Mexico) 11 (Ute)
SECTION (write number): S
TOWNSHIP (write number and check direction) T 15 North South_,,,,
Office of Office of
Mined land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines