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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />CHECK ONE: <br />I. GENERAL INFORMATION <br />PROSPECTOR: <br />Tory Williams <br />Name: <br />Title: Geologist <br />companyName: Silver Star Resources <br />Street: 1675 Larimer St Suite 820 <br />P.O. Box: <br />City: Denver <br />State: <br />Zip Code: 80202 <br />Telephone Number: (303) 534 -6500 <br />Fax Number: (303) 534 -0102 <br />Office of <br />Mined Land Reclamation <br />Colorado <br />STATE OF COLORADO <br />90 %1- 030 <br />FORM 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />There is an NOI Number Already Assigned to this Operation <br />P- - (Please reference the file number assigned to this operation) <br />New NOI <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 />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />— &— <br />SAFETY <br />1. DATE NOI RECEIVED BY THE DIVISION: (office use only) <br />2. PROJECT NAME: Revenue Mine Exploration <br />8. <br />PERSON MLRB SHOULD CONTACT: <br />Name: Rory Williams <br />Title: Geologist <br />Company Name: Silver Star Resources <br />Street: 1675 Larimer St Suite 820 <br />P.O. Box: <br />City: Denver <br />State: Colorado <br />Zip Code: 80202 <br />Telephone Number: (303) 534 -6500 <br />Fax Number( 534 - 0102 <br />0 11 <br />C !vistofi uY t'ieciamatio. <br />Nir iF: =,nc �f ty <br />r <br />9. APPLICATION FEE: $86. (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: O u ray <br />PRINCIPAL MERIDAN (check one) 6 (Colorado) 10 (New Mexico) (Ute) <br />SECTION (write number): S <br />TOWNSHIP (write number and check direction) T North South <br />Office of <br />Denver • Grand Junction • Durango Active and Inactive Mines <br />