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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 />Tom/ iA <br />STATE OF COLORADO <br />RECEIVED <br />AUG 0 7 2013 <br />FAX: (303) 832 -8106 DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />FORM 2 (Public File) On 5 ` <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCKIMETAL MINES <br />CHECK ONE: ® There is an NOI Number Already Assigned to this Operation <br />if 7 P- - (Please reference the file number assigned to this operation) <br />11New NOI <br />—Modification to an Existing NOI <br />NOI# P- - (Provide for Modifications to an existing NOI) <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />I. GENERAL INFORMATION <br />1. DATE NOI RECEIVED BY THE DIVISION: <br />2. PROJECT NAME: Copper Mountain <br />8. PROSPECTOR: <br />Name: Mineral Mountain Gold, LLS <br />Title: LLC <br />Company Name: Mineral Mountain Gold, LLC <br />Street: 330 Bluff <br />P.O. Box: 821 <br />City: Lake City <br />State: Colorado <br />Zip Code: 81235 <br />Telephone Number: <br />Fax Number: <br />(970) 944 -0155 <br />COLORADO <br />D I V I S I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />(office use only) <br />PERSON MLRB SHOULD CONTACT: <br />Name: Lance Barker <br />Title: President <br />Company Name: Mineral Mountain Gold LLC <br />Street: 330 Bluff <br />P.O. Box: 821 <br />City: Lake City <br />State: Colorado <br />Zip Code: 81235 <br />Telephone Number: <br />Fax Number: <br />970) 497 -9057 <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 />R <br />10. LOCATION INFORMATION: <br />County: Teller <br />PRINCIPAL MERIDAN (check one) FI/ 6`h (Colorado) 010h (New Mexico) (Ute) <br />SECTION (write number): S 1 <br />TOWNSHIP (write number and check direction) T 15 North South <br />