PERMIT FILE - 8/11/2009, 8:43:59 AM-JWD

• Permit No: P2009025
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/10/2009
• Doc Name: Form 2 ‎(Public File)‎
• From: Black Range Minerals
• To: DRMS
• Email Name: BMK
• Media Type: D
• Archive: No

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DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215 C
Denver, Colorado 80203 RECEIVED
Phone: [phone]
FAX: [phone]
NOS! CON IDENI'IAL AUG 10 2009
Division of Reclamation,
Mining and Safety
Form 2 (Public File)
NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS
FOR HARD ROCK/METAL MINES
CHECK ONE: There is an NOI Number Already Assigned to this Operation
P- - (Please reference the file number assigned to this operation)
-New NOT
Ei t Modification to an Existing NOT
P- - (Provide for Modifications to an existing NOT)
COLORADO
D I V I S I O N OF
RECLAMATION
MINING
SAFETY
Bill Ritter, Jr.
Governor
Harris D. Sherman
Executive Director
Ronald W. Cattany
Division Director
Natural Resource Trustee
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. GENERAL INFORMATION
1
2
3
DATE NOI RECEIVED BY THE DIVISION: - (office use only)
PROJECT NAME: Uranium Project
PROSPECTOR: PERSON MLRB SHOULD CONTACT:
Name: Ben Vallerine Name:
Title: Exploration Manager Title:
Company Name: Black Range Minerals Company Name:
Street: 110 N. Rubey Drive, Suite 201 Street:
P.O. Box: 18041 P.O. Box:
City: Golden City:
State: Colorado State:
Zip Code: Street: 80403 / PO Box: 80402 Zip Code:
Telephone Number: 303-279-4946 Telephone Number:
Fax Number: 303-279-4934 Fax Number:
4. APPLICATION FEE: $86. (NOIs require a $86 fee which must accompany this notice or it cannot be processed by the
Division).
5. LOCATION INFORMATION:
County: Fremont
PRINCIPAL MERIDAN (check one) 6`h (Colorado) 1 10`' (New Mexico) ® (Ute)
SECTION (write number): S
A
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines