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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />CHECK ONE: There is an NOI Number Already Assigned to this Operation <br />P- 2012006 (Please reference the file number assigned to this operation) <br />New NOI <br />Modification to an Existing NO1 <br />NOIit P- - (Provide for Modifications to an existing NO1) <br />I. GENERAL INFORMATION <br />Title: NA <br />State: <br />Zip Code' <br />10. LOCATION INFORMATION: <br />County: Boulder <br />PRINCIPAL MERIDAN (check one) <br />SECTION (wnte number): <br />Once of <br />Mined land Reclamation <br />STATE OF COLORADO <br />FORM 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />I . DATE NOI RECEIVED BY THE DIVISION: (office use only) <br />2. PROJECT NAME: Gold Hill Minerals Bueno Mine and Mill Exploration <br />8. PROSPECTOR: PERSON MIRE SHOULD CONTACT: <br />Name. Vold Hill Minerals, Inc. Name: Scott Hazlitt <br />Company Name: Gold Hill Minerals. Inc. <br />Street: NA <br />P.O. Box: PO Box 191127 <br />City: Miami Beach, <br />FLorida <br />33119 -1127 <br />Telephone Number: (305) 726 -7752 <br />fax Number: (305) 397 -8997 <br />El 6 th (Colorado) 10 (New Mexico) ® (Ute) <br />S 24 <br />TOWNSHIP (write number and check direction) T 2 North � South El <br />5 <br />Title: Consulting Mining Geologist <br />Company Name: Gold Hill Minerals. Inc. <br />Street: NA <br />P O. Box: PO Box <br />City: Miami Beach, <br />State: Florida <br />Zip Code: 33119 -1127 <br />Telephone Number. (970) 214 -8164 <br />fax Number005) 397 -8897 <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />Y <br />9. APPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be <br />processed by the Division). <br />Office of <br />Denver • Grand Junction • Durango Active and Inactive Mines <br />