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Form 2 (Public File) <br /> NOTICE OF INTENT TO CONDUCT PROSPECTING ftVED, <br /> FOR HARD ROCK/METAL MINES <br /> » <br /> CHECK ONE: AUG 16 zo <br /> DIVISIONWFME <br /> There is an NOI Number Already Assigned to this Operation (Please NOI# P MI IN <br /> ® reference the file number assigned to this <br /> operation) <br /> New NOI <br /> rl Modification to an Existing NOI (Provide NOW P- <br /> 1L__j - <br /> 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 /> RECEIVED <br /> P-2017-011 AUG 16 Z017 <br /> DIVISION OF RECLAMATION <br /> MAC <br /> MAC office use onl KING AND SAFETY <br /> WHE <br /> 2. PROJECT NAME: rIOL QA R E , Kwca IV n. 1 -- T)ruc>sms:yiij(, PLAA13 2017 <br /> 3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br /> Name Name <br /> Title Title <br /> Company Name Company Name <br /> 1313 Sherman Street, Room 215, Denver,CO 80203 P 303.866.3567 F 303.832.8106 http://minino.state.co.us <br /> John W. Hickenlooper,Governor I Robert W. Randall,Executive Director Virginia Brannon. Director f <br />