2010-10-25_REVISION - P2009001 (4)

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NON CONFIDENTIAL P-,qo(:3q-ool STATE OF COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY Department of Natural Resources 1313 Sherman St., Room 215 Denver, Colorado 80203 Phone: (303) 866.3567 FAX: (303) 832-8106 CHECK ONE: Form 2 (Public File) NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS FOR HARD ROCK/METAL MINES There is an NOT Number Already Assigned to this Operation P- - (Please reference the file number assigned tolthis operation) New NOT to an Existing NOT (Provide for Modifications to an existing NOT) COLORADO D I V I S I O N O F RECLAMATION MINING SAFETY OCT 25 2olo Divwien of Fjog igrAOM Mbft and iiillW Type or print clearly, In the space provided, ALL Information described below. 1. GENERAL. INFORMATION 1. DATE NOT RECEIVED BY THE DIVISION: (office use only,) 2. PROJECT NAME: Silver Creek 3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: Name: Mark E. Levin Name: Mark E. Levin Title: President Company Name:, Outlook Resources Inc. ? Street: 3121 CR 308, Dumont, CO 80436 P.O. Box: 1511 City: Idaho Springs State: Colorado Zip Code: 80452 Telephone Number: 303-567-4174 Fax Number. 303-567-1006 4. APPLICATION FEE: $86. (NOIs require a $86 fee which must accompany this notice or it cannot be processed by the Division). 5. LOCATION INFORMATION: County: PRINCIPAL MERIDAN (check one) -06a' (Colorado) MIT 10 h (New Mexico) -E]-(Ute) SECTION (write number): S 30,31 Title: Manager Company Name: Mining & Environmental Services LLC Street: 3121 CR 308, Dumont, CO 80436 P.O. Box: 1511 City: Idaho Springs State: Colorado Zip Code: 80452 Telephone Number: 303-567-4174 Fax Number: 303-567-1006 Office of Office of Mined Land Reclamation Denver • Grand )unction • 'Durango Active and Inactive Mines