2012-07-06_PERMIT FILE - P2012013 (2)

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DIVISION OF RECLAMATION, MINING AND SAFETY Department of Natural Resources 1313 Sherman St., Room 215 Denver, Colorado 80203 Phone: (303) 866 -3567 FAX: (303) 832 -8106 CHECK ONE: NOI# Company Name: Shell Frontier Oil & Gas Inc. Street: 3737 Bellaire Blvd. P.O. Box: City: Houston State: TX Zip Code: 77025 Telephone Number: (713) 245 -7732 Fax Number: (713) 245 -8299 Office of Mined Land Reclamation STATE OF COLORADO FORM 2 (Public File) NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS RECEIVED FOR HARD ROCK/METAL MINES There is an NOI Number Already Assigned to this Operation P- - (Please reference the file number assigned to this operation) New NOI 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. 8. PERSON MLRB SHOULD CONTACT: Name: Jeffrey Stevenson PROJECT NAME: Mahogany Research Project - Private Land Well Pad Discharges to Ground Water PROSPECTOR: Name: Title: Title: Company Name: Shell Frontier Oil & Gas Inc. Street: 3737 Bellaire Blvd. - BTC4024 P.O. Box: City: Houston State: TX Zip Code: Staff Environmental Engineer 77025 Telephone Number. Fax Number(713) 245 -8299 (713) 245 -7732 ) e et V V 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: Rio Blanco PRINCIPAL MERIDAN (check one) El 6 (Colorado) I:110 (New Mexico) 11 (Ute) SECTION (write number): s See attached Table 1 TOWNSHIP (write number and check direction) T North South ® See attached Table 1 COLORADO DIVISION OF RECLAMATION MINING — &— SAFETY � 0Lvl Division of Reclamation, Mining & Safety Office of Denver • Grand Junction • Durango Active and Inactive Mines