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NOTICE OF INTENT TO OPERATE A MINING CLAIM <br /> JAN ?�^AJ21 <br /> Current mining regulations require the holder of a valid mining claim to submit a ice of <br /> intent to conduct operations which might cause surface resource disturbance. Within 6VA7*10N <br /> receipt of this notice, the District Ranger will notify the operator as to whether(or not) an Operatihil-Ty <br /> Plan is required for the proposed operation(s). <br /> Operator's Name / J s <br /> Address(City, State, Zip) W lj�e �eij") 990),A94`; �D erzcel 4 Iku", <br /> Wt3 <br /> Phone (including Area Code) 3U�--,-)j4 i 1 Z 503 - ;-:2�1-.30-6 <br /> Area Involved: (PLEASE ATTACH MAP WITH LOCATION OF CLAIMS) r <br /> Legal Description `w ' A Q <4 •7` <br /> Claim Name M 4 1, C Xt 1 <br /> Filing Date 1 <br /> rr l; `),a&vk4 <br /> Where Filed i 1 J� 1' �r o w + <br /> General Location(landmarks, vicinity, etc.) �v.44 <br /> Access: <br /> Proposed Route Y�CC�rS� -lA 0c� �x �i i N� � 1� : IQr� c t i 4tu <br /> Method of Travel C-A� �"Q-,v-A i fZtjdL i'oi <br /> Dates (of operation and duration): L -b l <br /> Proposed Operations (trenching, drilling, road construction, tree cutting): <br /> IQ avi aL-C�e vv�t�o+ +�� b :ice <br /> 6\pf?� ^�hpN \ �.�'�) �� (naci <br /> Signature Date . <br /> Return completed Notice of Intent to: <br /> Boulder Ranger District <br /> Attn: Mike Johnson <br /> 2140 Yarmouth Ave. <br /> Boulder, CO 80301 <br /> 303-541-2534 (phone) <br /> 303-541-2515 (faxl _ <br /> mjohnsonl0@fs.fed.us <br /> 1 <br />