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• J-' <br />Q. aO1o - 003 <br />MAR A 1 7010 <br />Dimon of ReClaiT 8000, <br />MMMg and Safety <br />Form 2 (Public File) <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 />NO[ # P- - (Please reference the file number assigned to this operation) <br />„_„_New NOI <br />Modification to an Existing N01 <br />NOW P- (Provide for 1Modifleations to an exissimg NOD <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />L GENERAL INFORMATION <br />1. DATE NP-11 RECEIVED BY THE DIVISION: (offim use only) <br />2. PROJTCTNAME: rtreyhaund Mina Exploration. <br />3. PROSPECTOR: PERSON MLRB SHOULD CONTACT <br />Name: Jack CLARK, Jr. Name: Charles R. Ponehak <br />Tide: Owner Titlc: Consultant <br />Company Name: Company Nom. <br />Street: Strew 15292 6050 Road <br />P.O. Box: _ 7 6 7 <br />Cary. Silverton <br />State: Colorado <br />Zip Code: 81433 <br />Telephone Number: 970-38 7-5243 <br />Fax Number: <br />P.O. Box: <br />City. Montrose, Co. <br />StawColorado <br />Zip Code. 814 0 3 <br />Telephone Atumber_ 970-249-2081 <br />Fax Number: 970-249-2081 <br />4. APPLICATION FEE: $86. (WOls require a $86 fee which must accompany this notice or it cannot be processed by the <br />Division). <br />5. LOCATION R ORMATION: <br />County: Ouray, unsurveyed <br />PRINCIPAL MERIDAN (checit one) fig (Colorado} lt" (New Mexico) (Ute) <br />SECTION (write number): S