2012-06-28_PERMIT FILE - P2012011

• Permit No: P2012011
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/28/2012
• Doc Name: NOI APPLICATION FORM
• From: SMUGGLER GOLD MINE
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1 313 Sherman St., Room 215
C L O R A D 0
TION Denver, Colorado 80203 DIVISION F
Phone: [phone] RECLAMA
FAX: [phone] j MINING
ac) ^ of SAFETY
FORM 1
All information for DRMS use and confidential filing
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS RLCLIVEO
FOR HARD ROCK/METAL MINES
JUN! 28 7-012,
CHECK ONE: There is an NOI Number Already Assigned to this Operation alViSiotl of rm- clamPtIO 1r
P- �UC'} -0t4 (Please reference the file number assigned to this operation) Mining 3, SS4-4
New NOI
E Modification to an Existing NOI
P- (Provide for Modifications to an existing NOI)
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
I. GENERAL INFORMATION
1. DATE NOI RECEIVED BY THE DIVISION: (office
� use only)
2. PROJECT NAME: GPI-D MINE- 'E>C U4,C•,,LjP L tC>t 4j JS-7 yO j
3. PROSPECTOR:
Name:`ANta imp M oRPli j
Title: 0U-'� i A) 1
Company Name: 'bi` iuko -L ek
Street: 108 LA%CSr Nor--
P.O. Box: P10 • Yt
City: C6 pkell CRS,
State: CQLO i`LV�'-00
Zip Code:
Telephone Number: =6
Fax Number: A'1 q — W1 —'(0 A Q
PERSON MLRB SHOULD CONTACT:
Name: �i-1'iNIv01V N►i1�kIP}�/�,i- 10fVt 1�CNp21C�
Title:
Company Name:
Street:
P.O. Box:
City:
State:
V,
Zip Code:
Telephone Number: � L2 , — '1C'0 259-3q
s 5
Fax Number: 30 3 :�
4. APPLICATION FEE: S86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be
processed by the Division).
5. LOCATION INFORMATION:
County: lTaP 11N
PRINCIPAL MERIDAN (check one) k 6t° (Colorado) 010`" (New Mexico) (Ute)
SECTION (write number): S
Office of Office of
Mined Land Reclamation Denver - Grand )unction - Durango Active and Inactive Mines