2011-07-11_PERMIT FILE - P2011022 ‎(2)‎

• Permit No: P2011022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/11/2011
• Doc Name: New NOI- Prospecting, Form 2
• From: Patriot Diamonds Inc.
• To: DRMS
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
CHECK ONE: ® There is an NOI Number Already Assigned to this Operation
t P- - (Please reference the file number assigned to this operation)
New NOI
Modification to an Existing NOI
NOI# P- ' - (Provide for Modifications to an existing NOI)
City:
FORM 2 (Public File)
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS
FOR HARD ROCK/METAL MINES
I. GENERAL INFORMATION
p- 70/1-022
Flk
GENERAL OPERATION INFORMATION
STATE of COLOIADO
Type or print clearly, in the space provided, ALL information described below.
1. DATE NOI RECEIVED BY THE DIVISION: (office use only)
2. PROJECT NAME: Chicken Park
8. PROSPECTOR: PERSON MLRB SHOULD CONTACT:
Name: Name:
Title: Title:
Company Name: Patriot Diamonds Inc.
Street: Suite 2, Mount Royal Villas ? Street: 1205 Steeplechase Ct
P Q —Bex: —
State: (at (6,.4t -- w. (✓w^.t -AN\
Zip Code: - 'L.- 1 '
Telephone Number: (403) 294 -5713
Fax Number: (403) 262 -4860
Company Name:
P.O. Box:
Howard Coopersmith
agent
10. LOCATION INFORMATION:
County: Larimer
PRINCIPAL MERMAN (check one) 6 (Colorado) ral0` (New Mexico) (Ute)
SECTION (write number): S
TOWNSHIP (write number and check direction) T North South
COLORADO
D I V I S I O N O F
RECLAMATION
MINING
— &—
SAFETY
City: Fort Collins
State: CO
Zip Code: 80524
Telephone Number. (970) 217 - 1008
Fax Number:
JUL 11 0
Divi4ion of Roclamaton,
Mining and Suety
9. APPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be
processed by the Division).
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango
Active and Inactive Mines