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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 RECEIVED <br /> COLORADO <br /> Denver,Colorad D I V I S I O N o f <br /> Phone:(303)861 _ MAY 2 6 2021 RECLAMATION <br /> FAX:(303)8324 P 2 0 21 011 MINING <br /> R �d m awa/s m s DIVISION OF RECLAMATION SAF ET Y <br /> E R /� / MINING AND SAFETY <br /> NOTICE OF INTENT TO CONDUCT EXPLORATION OPERATIONS <br /> nris forlfi is for ail+onstruuticYn 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)oft:he 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(DRMS). 1 fyou plan to conduct exploration on Bureau of Land Management <br /> (BLM) land,you should also include the information on pages i 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 be 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_IN'FENT: aoa � <br /> 2. EXPLORER: PERSON MLRB SHOULD CONTACT: <br /> Name: C c��-o v l Es) ids Name: J��,�, E-J\�i <br /> Address:_ Q �C1` �� Address: �,a _ <br /> C c► cry a _co-nonCAVq . C t\� 1 <br /> Phone: �a nPhone: <br /> 3. APPLICATION FEE.: $108.00 <br /> 4. DESCRIPTION OF I-HE LANDS: <br /> Sitran,c:.._... y-�c, ►�_ .__ 1� �s.StS�C .....`1S�n.. _ _ <br /> Lvcation: The land is located prirnari4 ,.vithin *Section —��} . I ownship <br /> Range .__._._ Prime Meridian. rC ountt <br /> ?COTE: Supply longitude and latitude if lands have not been surveyed_ <br /> *Land Ownership: Private ..__.._...__._-........._...._._.........__..........-.-.._._.,and or Public(specif}agency) -------------- <br /> i <br /> Estimated acreage of land;u.rface to be affected: (�� ��_..\-CAOL <br /> Please attach a t'SGS 7.5 minute quad,or similar n,ap of adequate scale. which Jocare,the exploration slte(s). <br /> Office of Office of <br /> Mined Land Reclamation Denver Grand Junction • Durango Active and Inactive Mines <br /> i <br />