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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 COLD P D O <br />DIVISION o f <br />Phone: (303) 866.3567 ARECLAMATION <br />FAX: (303) 832-8106 MINING <br /> <br /> SAFETY <br />Bill Ritter, Jr. <br />Governor <br />Form 2 (Public File) Harris D. Sherman <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS Executive Director <br />FOR HARD ROCK/METAL MINES Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />CHECK ONE: There is an NOI Number Already Assigned to this Operation <br />P- - (Please reference the file number assigned to this operation) <br />New NOI <br />Modification to an Existing NOI <br />P- - (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. DATE NOI RECEIVED BY THE DIVISION: (office use only) <br />2. PROJECT NAME: Joosten Prospecting - Portion of Jones Placer <br />3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br />Name: Mike Joosten Name: Mike Joosten <br />Title: Private Land Owner Title: Private Land Owner <br />Company Name: N/A Company Name: N/A <br />Street: 11355 Chase Way Street: 11355 Chase Way <br />P.O. Box: P.O. Box: <br />City: Westmisnter City: Westminster <br />State: CO State: CO <br />Zip Code: 80020 Zip Code: 80020 <br />Telephone Number: 720-201-0258 Telephone Number: 720-201-0258 <br />Fax Number: Fax Number: <br />4. APPLICATION FEE: $86. (NOIs require a $86 fee which must accompany this notice or it cannot be processed by the <br />Division). <br />5. LOCATION INFORMATION: <br />County: <br />PRINCIPAL MERIDAN (check one) [ - t 6`h (Colorado) 010th (New Mexico) f _ t (Ute) <br />SECTION (write number): S 31 <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines