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<br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 115 <br />Denver, Colorado 80203 <br />Phone: (303) 866.3567 <br />FAX: (303) 832-8106 <br />COLORADO <br />DI VI S ION OF <br />RECLAMATION <br />MINING <br />-&L- <br />SAFETY <br />Bill Ritter, it. <br />Governor <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 number assigned to this operation) <br />New NOI <br />Modification to an Existing NO[ <br />NOW P- (Provide for Modifications to an existing NOI) <br />Harris D, Sherman <br />Executive Director <br />Ronald W. Canany <br />Division Director <br />Natural Resource Trustee <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />1. GENERAL INFORMATION <br />I, <br />3. <br />DATE NOI RECEIVED BY THE DIVISION: <br />PROJECT NAME: <br />PROSPECTOR: PERSON t1ILRR SHOULD CON' <br />Name: 1l i n (? r Q,? C Name: . <br />Title: <br />bump__ -- Title: WA f- If <br />e <br />Company Name: Wn Company Name: Y Ct/ tY <br />Street: / ' <br />._?_.?.?_?L?..._ ? Street: 12,7 Dl m <br />P.O. Box: <br />City: <br />State: <br />Zip Code: _t O q b l <br />Telephone Number: 7 <br />Fax Number: <br />P.O. Box: <br />City: <br />State: <br />Zip Code: -. 2_?t <br />Telephone Number-. <br />Fax Number: <br /> <br />4. APPLICATION FEE: S86. (NOls require a 886 fee which must accompany this notice or it cannot be processed by the <br />Division). <br />5. LOCATION INFORMATION: <br />County:......Pm1 K-.-.-..__.._........... <br />PRINCIPAL MERIDAN (check one) "(Colorado) 10h (New Mexico) ___(Ute) <br />SECTION (write number): S 0 C4 3'2 <br />Office of <br />Mined Land Reclamation <br />Denver • Grand Junction • Durango <br />(office use only) <br />Office of <br />Aclive and Inactive Mines <br />-__....._____-?WA_ ...................------------ ---- -- <br />_ /V/1+