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COLORADO DMSION OF MINERALS AND GEOLOGY <br />"~ 1313 Shaman Strad, Rnwn 215, Denvc, Colorado 80203, (303) 86b3567 <br />pr <br />PARTI <br />NOTICE OF INTENT TO EXPLORE INVOLVING REMOVAL OF <br />250 TONS OR LESS OF COAL <br />Notice of I1ltattNo. (Assigrred by Division): <br />Applicaat tta~nGtiie.t... t,It+A CtJAt_ t_i.C <br />Project Name: B~~g~Mflz1!_ MINE mtQ3,r~T1t91.t <br />Date: F'~8 lsi 7.eo(p Commodity Mined or Explored: [~.L <br />M'meral Ownership: Federal _ State _ Private <br />Surface Ownership: Federal _ State _ Private <br />Permittee <br />Individllal'sName: TbM ~2b <br />Company Name: IJAti0A1~1_ tilt+fC GOls,~tld" <br />Aadress: •~z•~~y~~~ -Ir~t~•Wri. co 813Zro <br />Telephone: (9~A 3B'~•4,~ _~t!¢ <br />Cj <br />- Permittint= Contact (if different from above) <br />Individual's Name: ~C>~A~1._ $AV dC.C <br />Company Name: ~V/!~[~ AND SA~tdG~_ ItVI~ <br />Addt+ess: 4bt0 Lt,A.YSr~4_ CI~'DIZ , w1iJt~so~~ I~BQ~^50 <br />Telephone: ) ~ •8080 <br />~~ <br />Insrrectioa Contact (Ifdifferent tlrom above) <br />Individual's Name: <br />Company Name: <br />Address: <br />Telephone: ~~ <br />NOTE: Exploration must be confircrod in caoopliance with the Rules and Regulations of the Colorndo Mined Lend <br />Reclamation Bcatd 1~ Coal Mining, adopted in axordence with the Colorado Surfacc Coal Mining <br />Reelanatian Aca; CRS 34-33-101 g ~. This form mtut be Shed out enSrely before it caa be considered <br />cwmpkte. 7tw j2) copies ofthis Notice, mdud'mg maps and additional atmcdunmts, should 6e submit0ed to the <br />Division of Minerals and ()eulogy. Please refer to Rules 2.02, 3.05, 4.07, 421 and 5.01 for specific regulatpy <br />requ. <br />