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4 ' STATE OF COLO ADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C�TO RA D O <br /> Denver,Colorado 80203 DIVISION O F <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)832-8106MD01 M I N I N G <br /> —�t— <br /> _. <br /> DMCwhe ED <br /> Form 2(Public File) OCT 1 ?Y018 <br /> DJVISJO <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS NGFRECLAMAT/G <br /> FOR HARD ROCK/METAL MINES MININGAND SAFE N <br /> CHECK ONE: There is an NOI Number Already Assigned to this Operation IV 0 <br /> P- a (Please reference the file number assigned to this operation) p 0 <br /> New NOI O' a N <br /> Modification to Existing NOI ' n <br /> P- (Provide for Modifications to an existing NOI) 3 — <br /> GENERAL OPERATION INFORMATION O <br /> Type or print clearly,in the space provided,ALL information described below. �, C <br /> sy <br /> I. GENERAL INFORMATION o <br /> 1. DATE NOI RECEIVED BY THE DIVISION: (office use only) <br /> 2. PROJECT NAME: �} <br /> 0 <br /> 3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name: t—A_-LS el) Name: 0INCI-+✓ i`f C— v <br /> Title:bft11_ !' /15 Title:( _ J 3 0 <br /> Company Name: Company Name: n o Iv <br /> Street: 1'7 S N,�i if A U�- Street: 1��\s �)r�r 1 w$�' '�'— �, N 0 <br /> P.O.Box: �,, P.O.Box: <br /> tD � <br /> City:po (c►/��CN City: R zt Jrl` � <br /> State: N�Rr—q 60 State: (n Req G N <br /> Zip Code: 9 324 30 Zip Code: <br /> Telephone Number• ) m Telephone Number:"�n , <br /> Fax Number: Fax Number: <br /> 4. APPLICATION FEE: $86. (NOIs require a$86 fee which must accompany this notice or it cannot be processed by the <br /> Division). <br /> 5. LOCATION INFORMATION: <br /> Count}-iPF—W C!-- <br /> PRINCIPAL MERIDAN(check one) �&'(Colorado) ,10''(New Mexico) ® (Ute) <br /> SECTION(write number): S _ <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction •'Durango Active and Inactive Mines <br />