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V <br />1401N CONFIDENTIAL t-? JUN 10 2009 &,,-' <br />Division of Reclamation, <br />01ing and Safety <br /> <br /> <br /> <br />Form 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />ARD ROCK/METAL MINES <br />CHECK ONE.: X There is an NOI Nu er Already Assigned to this Operation <br />NOI # P- 7-bC-5- OnJ -(Please reference the file number assigned to this operation) <br />_ New NOI <br />Modification to an Existing NOI <br />NOW 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 />1. GENERAL INFORMATION <br />1. DATE NOI RECEIVED BY THE DIVISION: (office use only) <br />2. PROJECT NAME: /A : /?? <br />3. PROSPECTOR: PERSON MLRB SHOULD CONTACT: <br />Title: Title: <br />Company Name: CX_','4_6ompany Name: ? -= <br />Street: l 9 ?_ i ???Z r Street: <br />P.O. Box: P.O. Box: <br />City:`--X.f L? ?-tJOF? l ) <br />State: -010 L? <br />Zip toae: <Z?/ / / <br />Telephone Number: 30? 7? X2=0 7-1-,?Y^ <br />Far Number: - 02 a l - 2 / <I-C'? <br />City: _ ? L'?'^C?CJ O O l ) <br />State: C'?? e> <br />Zip Coder ! / / <br />Telephone Number,--?02- 7 7 0 -v7.4S <br />Fax Number: ro2a1 --__C21_t45 <br />d. APPLICATION FEE: $86. (NOIs require a $86 tee which must accompany this notice or it cannot be processed by the <br />Division). <br />LOCATION INFORMATION: <br />County: PRINCIPAL MERIOAN (check one) l/ 6(Colorado) 10'h (New Mexico) (tlte) <br />SECTION (write number): <br />S 3 _. <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines