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c <br /> r"-r-A TE OF COLORADO <br /> DIVISION RECEIVED <br /> Department M2019-024 <br /> 1313 Sherm. MAY U 2019 C O L O R A D O <br /> Denver,Col DMC/thinDIVISION OF <br /> Phone:(303. RECLAMATION <br /> FAX:(303}832 8106 DW$ON OF RECLAMATION MINING <br /> & <br /> WNMAND SAFETY SAFETY <br /> NOTICE OF INTENT TO CONDUCT EXPLORATION OPERATIONS <br /> This fortn is for all construction material minerals. <br /> If you plan to conduct exploration on any lands in Colorado.then you must provide all information described in <br /> this form."Exploration"is defined in Rule 1.1(13)of the Construction Material Rules and Regulations and is <br /> discussed in greater detail in the"Exploration Information"form. Each of these can be obtained from the office <br /> ofthe Division of Reclamation.Mining and Safety(DBMS). I fyou plan to conduct exploration on Bureau of Land Management <br /> (BLM)land,you should also include the information on pages:1 and 6 of this form. <br /> All information provided the Mined Land Reclamation Board(MLRB)in this Notice of Intent will be protected as confidential <br /> information by the Board and not he a matter of public record in the absence of a written release from the Operator or upon a <br /> finding by the Board that reclamation is satisfactory. <br /> " Information on this form which is not required by law,but which.if provided.will assist the Board in timely processing <br /> and release of financial warranty obligations. <br /> I. DATE OF FILING OF THIS NOTICE OF INTENT: <br /> 2. EXPLORER: /��, PERSON NLRB SHOULD CONTACT: <br /> Name:5wee,k .ke.�l 'livtiyvq 1f pom 0r\ Name: !71°-f` t-O!+ e <br /> Address; 513 �:vw`l"�R Mtn iln �}re G� Address 13 -S,t w+V% N c-,h <br /> t,�tnv�t'sn�y t__Co "8tZ3o �rU.r\r�►Lin _L® $1Z"36 <br /> Phone: CA-7 0 -0101 - G,0'-1 3 Phone: Ct 7 O- C1 O 1. - �{(5 L.l 3 <br /> 3_ APPLICATION FEE: $108.00 <br /> 4. DESCRIPT)O�(N OF THE LANDS: /� <br /> Site Dame:A�A� Lo-- OnOtr✓1 I t Vtie, GM.c - Z - u -� <br /> Location: fhe land is located primarily within*Section _, I ownship/ 1 Jr S <br /> Range �r_. __ �_.Prime`tleridian. 'rCount% l3"`- vvr\i S r3 y) <br /> NOTE: Supply longitude and latitude if lands have not been surveyed: <br /> I <br /> ;Land Ownership: Private ,andror Public(specify agency) I��`�� ��•' t �--t= 1 <br /> Estimated acreage of land surface to he affected: I A`r er <br /> Piease attach a t'SGS 7.t minute quad,or,imilar map f0 adequate kale.which locarea the exploration site(s). <br /> Office of Office of <br /> Mined Land Reclarmhon Denver - Grand}unction - Durango Active and Inactive Mines <br />