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Form 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />CHECK ONE: There is an NOI Number Already Assigned to this Operation <br />NOI # P- - (Please reference the file nwnber assigned to this operation) <br />New NO[ <br />??Modification to an Existing NOI <br />NOW P- 2008 - 246 (Provide for Modifications to an existing NOI) <br />GENERAL OPERATION INFORMATION <br />Type or print elearly, In the space provided, ALL Information described below. <br />1. GENERAL INFORMATION NO CHANGE <br />1 <br />2 <br />3 <br />DATE NOI RECEIVED BY THE DIVISION: (office use onlvl <br />PROJECT NAME: _ <br />PROSPECTOR• PERSON MLRB SHOULD CONTACT: <br />Name: Name: <br />Title: Title: ____--- <br />Company Name- T _ Company Name: <br />Street street: <br />P.O. Box: P.O. Box: _-- <br />City: city. <br />State: state: -- -- <br />Zip Code:. Zip Code: <br />Telephone Number: Telephone Number: <br />Fax Number: - Fax Nvinber: ?._ _-- <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 MERWAN (Check one) --__6''' (Colorado) <br />SECFtON` (write number): S --_„------- - <br />30°' (New M. exico) <br />(Ute)