2013-02-06_PERMIT FILE - P2013003 ‎(2)‎

• Permit No: P2013003
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/6/2013
• Doc Name: New NOI- Prospecting- Form 2
• From: Daniel Lewis
• 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:
Office of
Mined Land Reclamation
Company Name:
Street: la ?) A C S 1e 1 e A
P.O. Box: / 6 1 3
City: ff: P/a
State: C U
Zip Code: S
Telephone Number: 7/1- 3 (C' -(in 7
i v
10. LOCATION INFORMATION:
County: v k
PRINCIPAL MERIDAN (check one)
SECTION (write number):
® 6 (Colorado) 10 (New Mexico)
S
TOWNSHIP (write number and check direction) T / North ja South
STATE OF COLORADO
RECEIVED
C- / 3 - 003 FEB DG 16 13
Division of Reclamation,
Mining & Safety
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
P- - (Please reference the file number assigned to this operation)
New NOI
Modification to an Existing NOI
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:
8. PROSPECTOR: A PERSON MLRB SHOULD CONTACT:
Name: lamer .1 • e_' A I, e , -S Name: D a °1 ,•e_ 1 A 1„. S
Title: C`D Cv n Title: (7x.741 c
Company Name:
Street: / 7 l .,4
P.O. Box: / % 3
cit rci .►- f 74, Y
State: C C�
Zip Code: c 47 0
Telephone Number. 7 l `t 3 -
Fax Number: Fax Number:
9. APPLICATION FEE: $86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be
processed by the Division).
(Ute)
COLORADO
D I V I S I O N O F
RECLAMATION
MINING
SAFETY
c ss fe ll© .4 t'e_
Office of
Denver • Grand Junction • Durango Active and Inactive Mines