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(Form 2 — (Public File) <br />B. SITE /CLAIM INFORMATION: <br />List names, serial numbers, and provide legal description to nearest <br />quarter - quarter section of all sites or claims (attach additional page, <br />if necessary). <br />NAME SERIAL NUMBER LEGAL DESCRIPTION <br />Fossil Lode CM 283975 SE 14 Sec 3 11S 82W <br />Saturday Night Lode 2049 (Patented) SE 14 Sec 3 11S 82W <br />C. LOCATION MAP: Attach a USGS 7.5 minute quad, or similar map of <br />adequate scale, which locates the prospecting site(s). <br />FIGURE 1 Page 2 <br />D. Are prospect sites (e.g., drill holes, trench locations, etc...) staked <br />on the ground? Yes No Yes <br />E. Specify the Land Management Agency, Address and Telephone Number: <br />Bureau of Land Management <br />2850 Youngfield Street <br />Lakewood, CO 80215 -7076 <br />303 - 239 -3600 <br />F. The prospector is required to document that the NOI has been sent to <br />the BLM or the USFS. Processing of the NOI will not begin until the <br />prospector has submitted evidence acceptable to the Division that the NOI <br />was sent to the BLM or <br />USFS. Check one: <br />Evidence of notification is attached to this NOI for BLM Land <br />X Evidence of notification is attached to this NOI for USFS Land. <br />Other proof of notice is attached to this NOI <br />II. MAPS & DRAWINGS <br />Accurate topographic base map showing the location of the proposed <br />project must be submitted with this notice. The prospector may submit a <br />U.S.G.S. 7.5 minute quadrangle, or similar map of adequate scale that: <br />1. Identifies the proposed prospecting site(s) or activity areas <br />involving surface disturbance. Activity areas include all drill <br />holes, mud pits, excavations, trenches, adits, shafts, tunnels, rock <br />dumps, stockpiles, impoundments and prospecting roads, and <br />