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<br /> <br />~~ ~~~ ~~~~~~~~~~~~~~~~ • STAT OF COLORADO <br />_ 999 <br />MINED LAND RECLAMATION DIVISION <br />Oapanmant al Wlwel Resources <br />t3 t3 Sherman St.. Rpom 2t5 <br />oem.f, co 80203 <br />303 888.7567 <br />FA%; 303 832.9108 <br />RECEIVED <br />~10Y 17 1992 <br />DIVISiUN ~r <br />MINERALS 8 GEOI_~~~.~~' <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />This form is for all minerals other than coat. <br />pf' p <br />tiy" <br />~'J <br />M <br />•~~~~`~ <br />h 7i' <br />~t~. <br />ao.«na <br />MfCMet 8. Wnp, <br />adron twecra <br />P- ~~ -a~ <br />If you plan to conduct prospecting on any lands 1n Colorado, then you must provide <br />all lnformatton described in this form. "Prospecting is defined 1n Rule 1.1 (23) <br />of the Minerals Rules and Regulations and is discussed 1n greater detail in the <br />"Prospecting Information" form. Each of these tan be obtained from the office of <br />the Mined Land Reclamation D1vislon (NERD). If you plan to conduct prospecting on <br />,••BLM land, you should also include the information on pages 5 and 6 of this form. <br />All information provided the Mined Land Reclamation Board (NLRB) 1n this Notice of <br />Intent rill be protected as confidential lnformatton by the Board and not be a <br />matter of public record in the absence of a rrltten release from the Operator or <br />upon a finding by the Board that reclamation 1s satisfactory. <br />' Information on this forty rhich is not required by tar, but vhich, 1f <br />provided, rill assist the Board 1n timely processing and release of financial <br />warranty obligations. <br />1. DATE OF FILING OF THIS NOTICE OF INTENT: /~~lJ~f~,g~ ~6 ,~~~ <br />2. P-RO^SPEC~TOR' <br />Name: -~u~/•~ <br />Address: ~7/ <br />Phone: 3Q3 ~ ~c3 O •~~ ~8 <br />3. APPLICATION FEE: 575.00 <br />4. <br />Site Name: <br />'L. <br />L <br />Location: The Land 1s located primarily within *Sectton/~W~ ~, Township ~, <br />Range ~~, 'P.M. , 'County 80ULbER ~u~.D ©F'~~jjO~~ <br />NOTE: Supply longitude and Latitude 1f lands have not been surveyed: <br />*Land Ownership: Private ~, and/or Pubiic (specify agency) <br />Estimated acreage of land surface to be affected: ~/~ /~i~E ~1r./,~'uJf~isrut~B,¢.r1GE <br />PERSON NLRB SHOULD CONTACT: <br />Name: r~/.4.9~I(T~ ~~r~LS <br />Address: `S/S7l~s/fFiGZ~~~, <br />~OU`A6~2, Ca S~D3D/ <br />Phone: J0.3'-SAD ~zz~~ <br />Please art~ch a USGS 1.5 minute quad, or similar map of adequate scale, which <br />'.,:c.=_= :-_ ~r:.s;.ect~^g sites>.. <br />