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Form 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL :MINES <br />CHECK ONE: ____--There is an NOT Number Already Assigned to this Operation <br />NOI # P- - (Please reference the file number assigned to this operation) <br />New NOI <br />X Modification to an Existing NOI <br />NOI#,t 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 />i. DATE NOT RECEIVED BY THE DIVISION: (office use only) <br />2. PROJECT NANIE:_ Centennial Uranium- Project, Weld County, CO <br />3. PROSPECTOR: <br />Name: Richard--„.Blubaugh <br />Title: V . P . EH&S Resources <br />Company Name:. Powertech (USA) Inc. <br />Street: 5575 DTC Pkwy Suite 140 <br />P.O. Box: <br />City: Greenwood -. Village <br />State: Colorado <br />Zip, Code; 8 0111 <br />Telephone Number:._(: 0 3) 7 9 0- 7 5 2 8 <br />Fax Number: 3 0 3 7 9 0- 3 8 8 5 <br />PERSON MLRB SHOULD CONTACT: <br />Name: Richard --B-IubaucTh <br />Title: V . P .. EH&S Resources <br />Company Name: Powertech _ (-USA) Inc. <br />Street: 5575_,_DTC Pkwy_,__ Suite 140- <br />P.O. Box: -- <br />City Greenwood Village <br />State: Colorado <br />Zip Code: 8 0111 - - <br />Telephone 'cumber: (3 0 3) 7 9 0- 7 5 2 8 <br />Fax Number: (303)__790-3885 <br />4. APPLICATION FEF,: $8G. (NOIs require a S86 fee which must accompany this notice or it cannot be processed by the <br />Division). <br />5. LOCATION INFORMATION: <br />C`.ovnry: Weld <br />PRINCIPAL \4 RII7AN {eheck one) _X4 b" 3tI t (Lste) <br />SECTION (w-ite number): ` 33