2017-09-11_PERMIT FILE - P2017013

• Permit No: P2017013
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/11/2017
• Doc Name: Application
• From: Yuma County R&B
• To: DRMS
• Email Name: ECS
• Email Name: WHE
• Media Type: D
• Archive: No

5TATE OF COLORADO
DIVISION Of RECLAMATION,MINING AND SAFETY
Department of Natural Resources RECEIVED
1313 Sherman St.,Room 215
Denver,Colorado 80203 D O L O R A D O
SEP I 1 2017 DIVI51Uty OF
Phone:t,303)866 356i [[r I I RECLAMATION
FAX:[phone] i MINING
ECS WHE UVISION OF RECLAMATION —&—
P-2017-013 I�RANG AND SAFETY SAFETY
NOTICE OF INTENT TO CONDUCT EXPLORATION OPERATIONS
i his form is for all construction ariteriai rnincrals.
I
If you plan to conduct exploration on any lands in Colorado. then you must provide all information described in
this form."Exploration"is defined in Rule 1.1(13)ofthe Construction Material Rules and Regulations and is
discussed in greater detail in the" Exploration Information" form. Each of these can be obtained from the office
ofthe Division of Reclamation.'Mining and Safety(DRMS). If you plan to conduct exploration on Bureau of Land.Management
(BLM) land,you should also include the information on pages 5 and 6 of this form.
All information provided the Mined Land Reclamation Board(MLRB)in this Notice of Intent will be protected as confidential
information by the Board and not be a matter of public record in the abs nce ofa written release from the Operator or upon a
finding by the Board that reclamation is satisfactory.
* Information on this form which is not required by law,but which.if pro,.ided,vvill assist the Board in timely processing
and release of financial warranty obheations.
I. DATE OF FILING OF THIS NOTICE OF INTENT: 1 2/19/201 6
?. EXPLORER: -----�---`------- ___--PE SON MC.RB SHOULD CONTACT:
Name: Yuma County R&B Nalne,Don Marr
Address: 1310 S. Blake st. _ Address:
Wray CO 80758
-------------------------------------------------------------
PlICi11c970-332-5718 Phone [phone]
3. APPLICA-PION FEE:: SM08.00
4, DESCRIPTION OF I-1:1 L:�N LS:
--------- -- -...._._. ..-_....------..-...----
itc va;rlti: Conrad Exploration
..................._............................. _._.._...._.,...._........_._----_._
6 3South
Loca_fol-1 .he lard 1 located prlmar FI. t%Jfhin *Sect u :.r -.._.. __..___._...- - l csurs ,p
Range 45W_.................._._- ` SE SW 6 NO Prime kleridian. rC Uut11A Yuma
_... _... - 1 - ...,...................... - _..-...._...........
NO1i_F_: Supply longitude and latitude if lands have nor been sur eveci:
39049'15.18"N 102027'29.16"W
*L_and Ownership: Private ,yes
_-_-_-- ... _. --._-....._... _. .-__-._ and or Public(specify a«ency? ..............--------------------------_-_--- .
E,stiniated acreage of land surface to he tlf eeted: 15000 Sq ft
Plear>e a each a I. SGS rnintite quad, or similar reap of adeyuaw �c:ale which locates the exploration"nets"Office of Office of