2023-07-05_PERMIT FILE - P2023015

• Permit No: P2023015
• IBM Index Class Name: Permit File
• Doc Date: 7/5/2023
• Doc Name: Notice Of Intent
• From: EAI
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

I the undersigned.being the NOI holder or the person authorized to sign on behalf of the NOI
holder,der]are that the information given in this NOI form is true and correct.
SIGNATURES MUST BE IN BLUE INK
Signed and dated this 2-eZ',j day of CLy& v 2,02t3
(date) oath) (year)
Signature of NOI holder or person authorized to sign:
Name(typed or printed):
Timothy R. Brown
Title/Position:
U.S. County Manager
M:\min\oss\sib\MinerakForms\ProspecWorm2
30 Aug 2017
Form 2—Public File Page 14 of 14