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i <br /> Ii <br /> i <br /> i <br /> I <br /> B. SITE/CLAIM INFORMATION: <br /> List names, serial numbers and provide legal description to nearest quarter-quarter <br /> section of all sites or claims(attach additional page,if necessary. <br /> E <br /> NAME SERIAL NUMBER LEGAL DESCRIPTION <br /> Rosie 36 CMC285036 T 22S,R 72W,sec 8,sw/4 sw/4 <br /> Rosie 37 CMC285037 T22S,R72W,sec 8, sw/4sw/4 <br /> i <br /> i <br /> i 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 <br /> locations,etc.)staked on the ground? Yes � No ❑ <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> Agency BLM,Royal Gorge Fiend Office <br /> I <br /> Address 3028 East Main Street <br /> City,State,Zip <br /> Canyon City,CO 81212 <br /> Telephone 719 ) 269-8500 <br /> I <br /> 1 <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 /> t Evidence of notification is attached to this NOI for BLM Land <br /> i <br /> Evidence of notification is attached to this NOI for USFS Land. <br /> f <br /> y <br /> ® Other proof of notice is attached to this NOI <br /> I Form I—DRMS Use and Confidential File Page 4 of 14 <br /> I <br />