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' COLORADO <br /> j Division of Reclamation, <br /> Mining and S, - rm t t RECEIVED <br /> Department of Naa , <br /> 1313 Sherman Str <br /> P-2018-008 APR ,ag1 <br /> Denver, CO 80203 DMSION OF RECLgMA�1ON <br /> mac, whe MINING"SAFETY <br /> Form 1 (Public File) <br /> NOTICE OF INTENT TO VONDUCT PROSPECTING OPERATIONS <br /> FOR HARD ROCK/METAL MINES <br /> CHECK ONE: <br /> There is an NOI Number Already <br /> ® Assigned to this Operation (Please NOI # P- <br /> reference the file number assigned to this <br /> operation) <br /> ® New N01 <br /> Modification to an Existing NOI (Provide NOI# P- <br /> F1-:11 - <br /> 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: <br /> office use only) <br /> 2. PROJECT NAME: go IUA T 0 1 C4il.A e'- 1-4 � <br /> 3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name Name <br /> L <br /> Title Title <br /> Company Name Company Name <br /> `G <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us I « <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director <br />