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D <br />FEB 113013 <br />DIVISION OF RECLAMATION, MINING AND <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- - (Please reference the file number assigned to this operation) <br />New NOI <br />Modification to an Existing NOI <br />P- - (Provide for Modifications to an existing NOD <br />NOI# <br />I. GENERAL INFORMATION <br />1. DATE NOI RECEIVED BY THE DIVISION: <br />2. PROJECT NAME: Boulder Gold <br />8. I'ROSPECTO : <br />Jack Bridges <br />Name: <br />Tide: Member <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />57 Willow Court <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />Company Name: San Juan Minerals LLC <br />Street: <br />P.O. Box: <br />City: Pagosa Springs <br />State: <br />Colorado <br />Zip Code: 81147 <br />Telephone Number: ( 946 -2933 <br />Fax Number. <br />10. LOCATION INFORMATION; <br />County: Rio Grande <br />PRINCIPAL MERIDAN (check one) <br />SECTION (write number): <br />DIVI SION EO q AF 1 ON, <br />3Oitdh l uii>Ific Ver TV <br />TOWNSHIP (write number and check direction) T 37 North <br />P.O. Box: <br />9. APPLICATION FEE: S86. (NOIs and modifications require an $86 fee which must accompany this notice or it cannot be <br />processed by the Division). <br />6 (Colorado) �✓ ,1O (New Mexico) (Ute) <br />S 35 <br />Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango <br />STATE OF COLORADO <br />(office use only) <br />PERSON MLRB SHOULD CONTACT: <br />Name: Jack Bridges <br />Title: Member <br />Company Name: San Juan Minerals LLC <br />street: 57 Willow Court <br />City: Pagosa Springs <br />State: Colorado <br />Zip Code: 81147 <br />Telephone Number. (970) 946 -2933 <br />Fax Number: <br />South El <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />1-7_4)'3 -004- <br />Office of <br />Active and Inactive Mines <br />