2016-08-08_PERMIT FILE - P2016011 (3)

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(FORM 2 - Public f ling) 1. LOCATION MAP: Attach a USGS 7.5 minute quad, or similar map of adequate scale, which locates the prospecting site(s). J. Are prospect sites (e.g., drill holes, trench locations, etc...) staked on the ground? Yes No K. Specify the Land Management Agency, Address and Telephone Number: Not Applicable - private land only L. The prospector is required to document that the NOI has been sent to the BLM or the USFS. Processing of the NOI will not begin until the prospector has submitted evidence acceptable to the Division that the NOI was sent to the BLM or USES. Check one: Evidence of notification is attached to this NOI for BLM Land Evidence of notification is attached to this NOI for U SFS Land. Other proof of notice is attached to this NOI H. MAPS & DRAWINGS Accurate topographic base map showing the location of the proposed project must be submitted with this notice. The prospector may submit a U.S.G.S. 7.5 minute quadrangle, or similar map of adequate scale that: 3. identifies the proposed prospecting sitc(s) or activity areas involving surface disturbance. Activity areas include all drill holes, mud pits, excavations, trenches, adits, shafts, tunnels, rock dumps, stockpiles, impoundments and prospecting roads, and 4. includes sufficient detail to identify and locate known prospecting features and facilities that may be affected and those that are not anticipated to be affected. This includes the location of all drill holes, mud pits, excavations, trenches, adits, shafts, tunnels, rock dumps, stockpiles, impoundments and prospecting roads. Color photographs, adequately labeled (including date, orientation and location), of the prospecting site may be used to fulfill this requirement if included with the NOI submittal. III PROJECT DESCRIPTION 7. Mineral(s) and/or Resource(s) being Investigated: gold and any other associated materials that might be found 8. Estimated dates of commencement and completion: Commencement: 02/01/2016 Completion: Not yet determined X200 tons 9. Amount of material to be extracted, moved or proposed to be moved: 10. Identify the type or method of prospecting proposed and quantity (place an "X") Cuts / Pits/Kdits renches V hafts Tunnels Vj Declines it Drilling ✓ Fluid Drilling V Drilling & Blasting