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<br />DivisiOn Ot ' S o <br />IAillirtg ind STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFE V <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />Form& ' <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCKIMETAL MINES <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Q.. 6700-0®? <br />CHECK ONE There is an NOI Number Already Assigned to this Operation <br />N P_ 00 (Please reference the file number assigned to this operation) <br />New NOI <br />Mo ificatiork??t?F N01 <br />N p_ _ (Provi a 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: <br />2. PROJECT NAME: A U-A 6,P VVI I W d <br />3. PROSPECTOR: <br />Name: Title <br />L? <br />Company Name: <br />Street: I Tzz S ? " l P <br />(office use only) <br />Name: <br />Title: <br />Company Name: <br />Street: <br />P.O. Box- P.O. Box: <br />city: t L City: I t `? E <br />State: <br />State: O" <br />Zip Code: _ "t j Zip Code: <br />+P/-,e;4. <br />Telephone Number?dT'? i'Rlephon?' -`? <br />Fax Number: <br />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: O ?1 a.4- I` '+o t° <br />PRINCIPAL MERIDAN (check one) M6 1h (Colorado) jaie (New Mexico) _a (Ute) <br />SECTION (write number): S 1,?=_ <br />rime. nF <br />Offirn of