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' COLORADO <br /> Division of Reclamation. 'CEIVED <br /> Mining and Safetv <br /> Department of" 0 2 20« <br /> �zp1$ �oae -a SAFM <br /> e <br /> vie <br /> Qe�Sa' rr, s13G rorm 2 (Public File) <br /> 6 .i ENT TO CONDUCT PROSPECTING OPERATIONS <br /> FOR HARD ROCK/METAL MINES <br /> Ch.:CK 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 NOI <br /> Modification to an Existing NOI (Provide NOI# P- <br /> FE] - <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 /> RECEIVED <br /> AUG 0 2 2018 <br /> DIVISION OF RECLAMATION, <br /> office use only) AND SAFETY <br /> 2. PROJECT NAME: e <br /> 3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name Name <br /> D W re V- e.' i <br /> Title Title <br /> Company Name Company Name <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us I �•�1 +' <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director <br />