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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety 40 <br /> Devarrne�i.of N,stural Resowces <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> Form 1 (DRMS Use and Confidential File) �,1•� <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br /> FOR HARD ROCK/METAL MINES L iONo <br /> CHECK ONE: /��N�gN6S�G,, <br /> There is an NOI Number Already qF,��i 0'y <br /> ® Assigned to this Operation (Please NOI # P- - <br /> reference the file number assigned to this <br /> operation) <br /> F1—:11 New NOI <br /> Modification to an Existing NOI (Provide NOI# P- <br /> FE] <br /> for Modifications to an existing NOI) <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,ALL information described below. <br /> 1. GENERAL INFORMATION <br /> 1. DATE NOI RECEIVED BY THE DIVISION: <br /> office use only) <br /> 2. PROJECT NAME: <br /> 3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name Name <br /> Title Title <br /> Company Name 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. Hrckenlooper, Governor Robert W. Randall, Executive Director I Virginia Brannon, Director rs�� <br />