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F- Z, 0.1( - 0 ? 2-, STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources / P i; SeS L LC <br />1313 5hemwn St., Room 215 ` t <br />Denver, Colorado 80203 IS N ?j? f;p?yt? Q' Nq?l-P?l/'•?r.? D COLORADO <br />o d Phone: (303) 8663567 ?h <br />?op:?8tp6 -{-Inge ?vvc, I O h Fovw? Z s bey ?+? M IAN iTG N <br />``??dd?, t?? S?PPt:e.? • SAFETY <br /> <br />JAN 2011 FORM 2 (Public File) ? <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATI <br />Division otF acs ' FOR HARD ROCKIMETAL MINES a <br />--- <br />9 aY <br />CHECK ONE: ® There is an NOI Number Already Assigned to this Operation ??? 1410, <br />P- (Please reference the file number assigned to this ration) ' <br />New NOI 01V UggNO p f/ <br />o lfftcation to an Existing NOI p1V Of qF 40 <br />Offl? <br />NOW P- - (Provide for Modifications to an existing NOI) N A p S`q F1pN. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />1. GENERAL INFORMATION <br />2. <br />8. <br />it^ <br />(office use only) <br />PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br />Name: M A- r'k G%LPG Name: Some. a.$ <br />Title: - ©-u)"1 Q-1r w? ,! Title: PrD So eG? D V <br />1 , " 4? wq ttn? e* ?%,' sCf.L4ompany Name: r <br />Company Nam 1 0"Pt" <br />Street: S 67 ?o?tr?:5otn D'r: JC (/lr:'?7 Street: Ir <br />f1 <br />P.O. Box: P.O. Box: <br />City: Lo-s_V City: It <br />Nrva ? . State: I <br />State: <br />Zip Code: L39 120 <br />Telephone Number: -102-- ,t 341 - ?71Q <br />Fax Number: -7 y Z - 3`t" L ^ 1912 U <br />PRINCIPAL MERIDAN (check one) ja6t° (Colorado) IZ10`s (New Mexico) ]a (Ute) <br />SECTION (write number): S <br />TOWNSHIP (write number and check direction) T North South <br />10. LOCATION INFORMATION: ?ez AAWe? 16?5a'koliiaqwv-4+S0VN <br />County: e.vcal <br />Zip Code: It <br />Telephone Number: 0 <br />Fax Number: It I <br />/f <br />9. APPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be <br />processed by the Division). <br />Office of <br />Mined Land Reclamation <br />Denver • Grand Junction • Durango <br />Office of <br />Active and Inactive Mines <br />r,