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NAME SERIAL NUMBER LEGAL DESCRIPTION <br /> 6 d LD VA 2 rc 636- 40-1 C K C 2V2,23----,SF F-.-A TUcH E-b MAP. <br /> C. LOCATION MAP: Attach a USGS 7.5 minute quad,or similar map of adequate scale,which <br /> locates the prospecting site(s). <br /> D. Are prospect sites (e.g.,drill holes,trench locations, etc.) staked on the ground? Yes ® No �1'ry <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> Agency SBLM -'&icr Fete,/ jG <br /> Address <br /> City,State,Zip <br /> Telephone r ?� 1 Q! S5-0 <br /> 0 <br /> F. The prospector is required to document that the NOI has been sent to the BLM or the <br /> USFS. Processing of the NOI will not begin until the prospector has submitted evidence <br /> acceptable to the Division that the NOI was sent to the BLM or USFS. Check one: <br /> ® Evidence of notification is attached to this NOI for BLM Land <br /> © Evidence of notification is attached to this NOI for USFS Land. <br /> ElOther proof of notice is attached to this NOI <br /> Form 2—Public File Page 4 of 14 <br />