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STATE OF COLOFADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Shemwn SL,Room 215 <br /> Denver,Colorado 80203 C O L O RA D O <br /> DIVISION O F <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> FORM 2 (Public File) <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS RECEIVED <br /> FOR HARD ROCK/METAL MINES <br /> SEP 19 2016 <br /> CHECK ONE: There is an NOI Number Already Assigned to this Operation PoZa(a-D(q (Please reference the file number assigned to this operation) DIVISION OF RECLAMATION <br /> New NOI MINING AND SAFETY <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: (office use only) <br /> 2. PROJECT NAME:Kate <br /> 8. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name: Matt Hughes Name: James Ebisch <br /> Title: Geologist/Director Title: Geologist <br /> Company Name: Viscount Resources Company Name: Viscount Resources <br /> Street: 5714 E. Jamieson Road Street: 15101 S. Cheney Spokane Rd. <br /> P.O.Box: P.O.Box: <br /> City: Spokane City: Cheney <br /> State: WA State: WA <br /> Zip Code: 99223 Zip Code: 99004 <br /> Telephone Number: (509)990-0814 Telephone Number: (509)235-4955 <br /> Fax Number: Fax Number: <br /> 9. APPLICATION FEE: 586. (NOIs and modifications require an$86 fee which must accompany this notice or it cannot be <br /> processed by the Division). <br /> 10. LOCATION INFORMATION: <br /> County:Custer <br /> PRINCIPAL MERIDAN(check one) 216th(Colorado)010th(New Mexico) (Ute) <br /> SECTION(write number): S 17 <br /> TOWNSHIP(write number and check direction)T 22 North South <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand)unction • Durango Active and Inactive Mines <br />