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ov COtO7 <br />"¢ $' COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />.1876. 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />v <br />NOTICE OF INTENT TO EXPLORE INVOLVING REMOVAL• Or- W-® <br />250 TONS OR LESS OF COAL wo 19 2013 <br />PART I p(VISION OF RECLAMM("' <br />MINING AND SAFE <br />Notice of Intent No. (Assigned by Division): X — 2'01 3 - Z 30 " <br />Applicant: <br />Project Name: <br />Blue Mountain Energy, Inc. <br />Deserado Exploration 2013 <br />Date: 8/08/2013 <br />Commodity Mined or Explored: Coal <br />Mineral Ownership: Federal X State Private <br />Surface Ownership: Federal X State Private <br />Permittee <br />Individual's Name: Scott Wanstedt <br />Company Name: Blue Mountain Energy, Inc. <br />Address: 3607 C R 65 <br />Telephone: (970) 675 -4322 <br />Permitting Contact (if different from above) <br />Individual's Name: (same) <br />Company Name: <br />Address: <br />Telephone: ( ) <br />Inspection Contact (if different from above) <br />Individual's Name: (same) <br />Company Name: <br />Address: <br />Telephone: <br />NOTE: Exploration must be conducted in compliance with the Rules and Regulations of the Colorado Mined Land <br />Reclamation Board for Coal Mining, adopted in accordance with the Colorado Surface Coal Mining <br />Reclamation Act, C.R.S. 34 -33 -101 et sue. This form must be filled out entirely before it can be considered <br />complete. Two (2) copies of this Notice, including maps and additional attachments, should be submitted to the <br />Division of Reclamation, Mining and Safety. Please refer to Rules 2.02, 3.05, 4.07, 4.21 and 5.01 for specific <br />regulatory requirements. <br />