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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 COL O R A D O <br /> Phone:(303)866 3567 Div t s I o tv O F <br /> RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> --St— <br /> SAFETY <br /> FORM 1 <br /> All information for DRMS use and confidential filing <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br /> FOR HARD R04CKIMETAL MINES <br /> CHECK ONE: There is an NOI Number Already Assigned to this Operation <br /> P- (Please reference the file number assigned to this operation) <br /> New NOI <br /> Modification to an Existing NOI <br /> P-2017-006 (Provide 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: (office use only) <br /> 2. PROJECT NAME: Bonanza Land <br /> 3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name: Darrell Knudson Name: David Mosch <br /> Title: President Title: Representative <br /> Company Name: Bonanza Land, LLC Company Name: Mosch Exploration&Mining,LLC <br /> Street: 12472 Cireula Panorama Street: <br /> P.O. Box: ----- P.O. Box: P.O. Box 148 <br /> City:Santa Ana City: _ Idaho Springs <br /> State: California __ State:_ Colorado <br /> Lip Code:92705 Zip Code: . 80452 —�,— <br /> Telephone Number: (714) 838-3737 Telephone Number: (775) 385-3637 <br /> Fax'.Number: Fax Number: <br /> 4. APPLICATION FEE: $86. (NOIs and modifications require an$86 fee which must accompany this notice or it cannot be <br /> processed by the Division). <br /> 5. LOCATION INFORMATION: <br /> County-Clear Creek <br /> PRINCIPAL MERIDAN(check one) a6`"(Colorado)010`h(New Mexico) F(Ute) <br /> SECTION(write number): S 22 <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand junction - Durango Active and Inactive Mines <br />