PERMIT FILE - 4/6/2009, 3:14:17 PM-JWD

• Permit No: P2009010
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/2/2009
• Doc Name: New Prospecting NOI
• From: Kevin Lawrence
• To: DRMS
• Media Type: D
• Archive: No

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DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FIX: [phone]
WON CONFIDENTIAL
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS
FOR HARD ROCK/METAL .MINES.
CHECK ONE: There is an NOI Number Already Assigned to this Operation
NOI # P- - (Please reference the fie number assigned to this operation)
New NOI
Modification to an Existing NO[
NOW P- (Provide for Modifications to an existing NOI)
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. GENERAL INFORMATION
2. PROJECT NAME: /l K./
3. PROSPECTOR:
Nance: / 1? C'. V t'0 ? a-W l'` e,h eft _
Title: wne.?
Company Name:
Street: __L2,7-.EI'n
P.O. Box: _ AUA _ -^ ^y
City: k el Gu l,1je- -
State: _-.COLO-EeLclo.__._-_.-.--.-.---.-
Zip Code: g() q?y
Telephone Number. _7jCL::,213?!
Fax Number: [ ?-
STATE OF COLORADO
S
COLORADO
D I V I S I ON OF
RECLAMATION
MINING
SAFETY
Bill Ritter, Ir.
Govemor
Harris D. Sherman
Executive Director
Ronald W. Cattany
Division Director
Natural Resource Trustee
(office use only)
PERSON MLRB SHOULD CONTACT:
Name:
Title: ()lrl?j&(- DfJ_eF ee`'
Company Name:
Street:
P.O. Box:
City:
State:
Zip Code: b
Telephone Number: - 2 - Q?--
Fax Number:
4. APPLICATION FEE: $86. (N01s require a S86 tee which must accompany this notice or it cannot be processed by the
Division),
5. LOCATION INFORMATION:
County: .._.....i!....O-1--K.._._.._--...-....
..............
PRINCIPAL MEKIIIAN (check one) „b"' (Colorado) __IO'? (New Mexico) (Ute)
SECTION (write number): S 't4
Office of Office of
Mined Land Reclamation Denver - Grand Junction - Durango Active and Inactive Mines