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Form 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />CI_I}CK ONE:: There is an NOI Number Already Assigned to this Operation <br />NOI # P- _ (Please reference the file mmnber assigned to this operation) <br />_ New NOI <br />X Modification to an Existing NOI <br />NOI# p-2008-043 (Provide 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. DA'rE NOI RECEIVED BY THE DIVISION: <br />2. PROJECTNAME: Centennial Uranium office use onnl ,1 <br />Project, Weld County, CO <br />3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br />Name: Richard Blubaugh Name: Richard Blubaugh _ <br />Title: V. P. EH&S Resources Title: V. P. EH&S Resources <br />Company Name: _Powertech (USA) Inc. Company Name:._Powertech (USA) Inc. <br />Street: 5575 DTC Pkwy Suite 140 Street: 5575_ DTC Pkwy, Suite 140 <br />P.O. Box: P.O. Box: <br />City: _Gre.enwood......Vi_l._1_a.q..........._........._ .................. City: Greenwood...._Vil_l_a.9_e..................._....................... . <br />State: Colorado State: Colorado <br />.i}, Cod 80111 zip (.10de: 80111 <br />"I elezhon - Number : (303) 790-7528 (303) 790-7528 <br /> <br />!?ax +, *`? ,irrE,r. <br />( 790-3885 I?ax: -ulnnbet (303) 790-3885 <br />..... .... .. ....... ...... <br />......_...._... <br />4, APPIAC. ATION FEE. $86. (NOls require a .$86 fee which must accompany this notice or it cannot be processed by the <br />Division). <br />5, LOCATION INFORMATION: <br />t."c,l?nty: Weld <br />PRYIN.'(.ll'AI 'fE [I AN i501,e k 011 L; X t; ; olonldo) ,0 ' t'N Yv N'IeXty'o) {I 1'-)