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<br />~d~ COIVF~®~~~'~~4L <br />}~-2.009-007 <br />`~ ~'~ nay' ~f <br />~~ ~ ~ ~ <br />~~;~: ~ y ~ ~~^~~ <br />.i .f41'.w ~.::a ~"d6y <br />Farm 2 (Public Filej <br />NOTICE OF INTENT TO CONDLCT PROSPECTING OPERATIONS <br />FOR NARD ROCK/METAI. iVIINES <br />CHECK ON.F: 'I here is an NOI Number Already Assigned to this Operation <br />iV`OI ~ { I'- - {Please reference the file niunber assigned to this operation) <br />New NOI <br />i'1-codification to an Existing NOI. <br />NOI# P= - (Provide for iVloditications to an existing NOI) <br />GENERAI, OPERATION INFOR~~IA"TION <br />Type or print clearly, in the space provided, AI.I, information described below. <br />I. GENERAL INFORMATION <br />I. DACE NOI RECEIVED BY'TIiE DIVISION: <br />2. PRC3JEC'I' NANIE:_ __ `-~~tZ <br />3. PRUSPEC'I'UR: <br />Name: ----........C-.-l~-t5....-L~~ ~..J..._---- - <br />Title: ~. <br />Company Name: <br />Street: <br />P.O. Box: <br />City: -- ................__.---------Y/~.i~'_'~~.~..-..._..._.........-_..-- <br />State: ~.a....~.~-~.. <br />.......... <br />Iip Code; ~fsi~~. <br />"Telephone'tii;rn~Irer -.. ~...~..~.~__,,~.--~/f~°E~~C~~ <br />E~ax Nu.rrrber: <br />(office use on, lye <br />PERSON ;)'ILRB SIiO[;LD CONTACT: <br />Name: <br />Title: <br />Company Name: <br />Street: <br />P.O. Bax: <br />City: _..._ ..................._--.- <br />State: <br />1;ip t oclc: <br />"I'elephar;e `~irmi?er: <br />f~`~_x NtzYnber: <br />~. APPLICA'T'ION FEE: `.58ti, (NOIs require- a S86 fee which m.!.rst accerrrpany this nc:tice err it cannot he pracessecf by the <br />I)i.vision}. <br />S. I,OCa~'I'IO"V I:+iFOR:!~IA'I'ION: <br />f;ount!r: <br />YRI:~C:'II?AI:.~fI:I~..Ii:3~3N {~.ttsck. orrL) `._ tr•~` {t'ctlcsr•aci~a) I')~' ('wrct~' t~t~k:L~:~1 _ fI?t{ 1 <br />SI~;C'TIt:)'v {r:=rite ryusral?er): ~; _ <br />..-.~.._ <br />