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,~- moo y - oa ~ <br />NON C®NFI®ENTIAL <br />~~~~~~ <br />MAR 0 3 X009 <br />Division o` ;~~ciatnation, <br />Mining anti Safety <br />Farm 2 (Public File] <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCKiMETAL i~IINES <br />CHECK ONE: There is an NOI Number Already Assigned to this Operation <br />NOI # P- - (Please reference the file number assigned to this operation) <br />~.._,_New NOI <br />Modification to an Existing NOI <br />NOI# P- - (Provide for ;tiloditications to an existing NOI) <br />GENERAL OPERATION IlvFORIvIATION <br />Type or print clearly, in the space provided, ALI, information described below. <br />I. GENERAL INFORMATION <br />1. DATE NOI RECEIVED BY THE DIVISION: (,office use only <br />2. PROJECT NAME: .t/ ~ ~ ~J # <br />3. PROSPECTOR: ~r~ PERSON MLRB SHOULD CONTACT: <br />Name: /-. f-~~ /r ~ Y~ !~ Name: ~a ~~ ~.2 D ~J L C= Y <br />Title: ~ /a~ m/~ ni i Title: ~,~> 1pG is T <br />Company Name: Company Name: ~e /f?i~'! r!~~ /S , L LC <br />Street: Street: ~2 3Z ~'wC~iGvft ~ L,2 ,~c/ <br />P.o. Box: ~.3 <br />city: ~~'//c~ Irv yE <br />state: ~ ~ <br />Zip Code: D ~ ~~S <br />Telephone Number: ~j7U ~~ ~7L~-t~~7~ <br />Fax Neunber: ,/ ~4 <br />P.O. Box: <br />City: ~o,,,,~,tE %~?~ cr <br />state- ~' O <br />zip Code: ~, g~ i L <br />Telephone Nun-,ber: .~3 -(Q6 l " 3 ~.....,.~ ~_ <br />Fax Ntamber: ____ 3 c13 -~Z_~_S2....~ _. <br />4. APPLICATION FEE: 586. (NOIs require a 586 fee which must accompany this notice or it camiot be processed by the <br />Division). <br />5. LOCATION INFORMATION: <br />Caunty: ~2 <br />PRLNCII'AL MEI~IDA!~I (clseck ane) ~~6~`' (Colorado} <br />SECTION (write number): s . / 7-- <br />1tJ`~ {:dew Mexico) (Ute) <br />