2011-11-01_REVISION - P2008046 ‎(6)‎

• Permit No: P2008046
• IBM Index Class Name: REVISION
• Doc Date: 11/1/2011
• Doc Name: Submittal of MD-06 to NOI form 2
• From: American Shale Oil, LLC
• To: DRMS
• Type & Sequence: MD6
• Email Name: THM
• Media Type: D
• Archive: No

Company Name:
Street
P.O. Box:
City:
State:
Zip Code:
Form 2 (Public File)
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS
FOR HARD ROCK/METAL MINES
CHECK ONE: There is an NOI Number Already Assigned to this Operation
NOI # P- - (Please reference the file number assigned to this operation)
New NOI
X Modification to an Existing NOI
NOI# P- 2008 - 046 (Provide for Modifications to an existing NOI)
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
L GENERAL INFORMATION NO CHANGE
1. DATE NOI RECEIVED BY THE DIVISION: (office use only)
2. PROJECT NAME:
3. PROSPECTOR
Name:
Title:
Telephone Number: Telephone Number:
Fax Number: Fax Number.
PERSON MLRB SHOULD CONTACT:
Name:
Title:
Company Name:
Street:
P.O. Box:
City:
State:
Zip Code:
4. APPLICATION FEE: $86. (NOIs require a 586 fee which must accompany this notice or it cannot be processed by the
Division).
5. LOCATION INFORMATION:
County:
PRINCIPAL MERMAN (check one) 6' (Colorado) 10 (New Mexico) (the)
SECTION (write number): S