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• COLORADO <br />Division of Reclamation, <br />Mining and Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />RECEIVED <br />MAR U 5 2020 <br />DIVISION OF RECLAMATION, <br />MINING AND SAFETY <br />Form 1 (DRMS Use and Confidential File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />CHECK ONE: <br />There is an NOI Number Already <br />©Assigned to this Operation (Please <br />reference the file number assigned to this <br />operation) <br />New NOI <br />n Modification to an Existing NOI (Provide NOWP- <br />IJ for Modifications to an existing NOI) <br />NOI # P- <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 />2. PROJECT NAME: <br />3. PROSPECTOR: <br />office use <br />61 � /r' j^4 <br />PERSON MLRB SHOULD CONTACT: <br />I <br />Name Name <br />G <br />Title <br />Company Name <br />Wnf <br />Title <br />Company Name <br />1313 Sherman Street, Room 215, Denver, CO 80203 P 303,866.3567 F 303.832.8106 http://mining. state. co. us <br />John W. Hickentooper. Governor I Robert W. Randatt, Executive Director I Virginia Brannon. Director <br />