2012-03-19_PERMIT FILE - P2012004

• Permit No: P2012004
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/19/2012
• Doc Name: New NOI- Prospecting, Form 2
• From: Thomas G. Miller
• 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:
Company Name:
State:
Zip Code:
Office of
Mined Land Reclamation
FORM 2 (Public File)
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS
FOR HARD ROCK/METAL MINES
There is an NOI Number Already Assigned to this Operation
5 P- - (Please reference the file number assigned to this operation)
q New NOI
Modification to an Existing NOI
NOI# P- - (Provide for Modifications to an existing NOI)
I. GENERAL INFORMATION
GENERAL OPERATION INFORMATION
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: Put- i cAL 14;4
8. PROSPECTOR:
Name: I YlomQ5
Title:
rn wyte,r
ti/A
Street: oZ
6:20 C�i.� r r iVx S �a
P.O. Box: )) A
cit f- v�
-/ r
Telephone Number: `,Q - 3 A(g7
Fax Number 3 - ad
STATE OF COLORADO
PERSON MLRB SHOULD CONTACT:
Name:
Title:
Tho m.c..5
d WflQ
COLORADO
D I V I S I O N O F
RECLAMATION
MINING
— &—
SAFETY
Ilfur
Company Name: A)/ /k
--S01,-)c) h ��, � S 4 *1
Ail /C
r40,,A.
Street:
P.O. Box:
City:
State:
Zip Code: •&'j(ja
Telephone Number. iT) - a -
Fax Number: (� — f d
9. APPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be
processed by the Division).
10. LOCATION INFORMATION:
County:
PRINCIPAL MERIDAN (check one) IX 6 (Colorado) file (New Mexico) El (Ute)
SECTION (write number): S
TOWNSHIP (write number and check direction) T J Q North South
Office of
Denver • Grand Junction • Durango Active and Inactive Mines