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$D <br />Form 2 (PnbUc File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTLNG OPERATIONS <br />FOR .HARD ROCKlMETAL IVIINES <br />CIIEC.K ONF•.: ~ 'There is an NOI i`lumber Already Assigned to this Operation <br />NOI # I'- Zo -~~ (please reference the file munber assigned to this operation) <br />~____New NOI <br />i'Ylodification to an Existing NOI. <br />NOI# P~ - (Provide for 1~Ioditications to an existing NOI) <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL, information described below. <br />Y. GENERAL INFORMATION <br />1. DACE NOI RECEIVED BY 'THE DIVLSION: <br />2. P.ROJEC'I'NAME: ~<-~tM IVI-n:.~,.~. .C <br />3. PROSPF,CTOR: <br />Name: ~~~-~!?-.._----- --.._.__--- <br />Title: -~, <br />Company Name: ~i ~ir~.~.a....~y CLG <br />Street: ~.Q,~tl,.~, ~~+o~~~~C.....-- <br />City. <br />-- li_Y.a~Z'11~iY1....__.---------_._..........._...._......_..__............____.---......_ <br />State: <br />l..ip Code: w ~ 12 <br />'Telephone Nunther: g _ <br />--~}A.._.__.._.~s`~-.~...~ Sa2Z~--._..-....._.__.. <br />Fax Number: _9~:9 -_.~t_`~..Z..-Q~`~~ .... ..........._.._~__. <br />office use only <br />PERSO~N`M' L1 R1 B_ SHOULD CONTACT: <br />Name: _'-Y7~k~t~....~.~.:'~ c <br />...... _ <br />Title: r <br />Company Name: ~ '~ ~ , <br />_... ... ._ o ~._~....~._.. ((,G <br />. ~_~ 1~ <br />Street: Z7y (~, ~,~ <br />---^~~: <br />City: ~.,~~y~~~.__..__........__......_.....__ .............____.__.__. __. _._._. <br />State: ('s, <br />"I'elc}phvne Ni2mber: 9~-Q.._~-..(.t_. Z.._1.4.Z <br />4. APPLICATION FEE: $$6. (NOIs reciu.ire a S8ti fee which must accompany this notice or it cannot be processed by the <br />Division). <br />5. LOCA'I'.ION INFUI2.I~IA"I'IO;V: <br />PRL'~ICII'AL MFiR..CI)~3N (check. vnt;j .. , v _ 6`'` (C"olvt'acto) (t)~' (~i.w ;vlexieo) _ ([.ate) <br />SEif'Tlt:lN (write nustiber): S <br />