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7 <br /> 3 (Form 'ng) <br /> C. LOCATION MAP: Attach a USGS 7.5 minute quad,or similar map of adequate scale,which locates the prospecting <br /> site(s). <br /> D. Are prospect sites(e.g.,drill holes,trench locations,etc...)staked on the ground? Yes No <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> 1P "Ai id All er.11 <br /> 5^ <br /> $ `70-16. -Mn&06 <br /> F. The prospector is required to document that the N01 has been sent to the BLM or the USFS. Processing of the NOl will <br /> not begin until the prospector has submitted evidence acceptable to the Division that the N01 was sent to the BLM or <br /> USFS. Check one: <br /> Evidence of notification is attached to this NOI for BLM Land <br /> Evidence of notification is attached to this N01 for USFS Land. <br /> Other proof of notice is attached to this N01 <br /> H. MAPS&DRAWINGS <br /> Accurate topographic base map showing the location of the proposed project must be submitted with this notice. The prospector <br /> may submit a 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 involving surface disturbance. Activity areas include all drill holes, <br /> mud pits,excavations,trenches,adits,shafts,tunnels,rock dumps,stockpiles,impoundments and prospecting roads,and <br /> 2. includes sufficient detail to identify and locate known prospecting features and facilities that may be affected and those that <br /> are not anticipated to be affected. This includes the location of all drill holes,mud pits,excavations,trenches,adits,shafts, <br /> tunnels,rock dumps,stockpiles,impoundments and prospecting roads. Color photographs,adequately labeled(including <br /> date,orientation and location),of the prospecting site may be used to fulfill this requirement if included with the N01 <br /> submittal. <br /> III 'PROJECT DESCRIPTION 1. Mineral(s)and/or Resource(s)being Investigated: (96t`'tp <br /> 2. Estimated dates of commencement and completion: <br /> Commencement: C." 64-0-D ( b , <br /> Completion: k oZ"3 k-- Zl O t 0 _, <br /> 3. Amount of material to be extracted,moved or proposed to be moved: <br /> 4. i the type or me of prospecting used and quantity(place an"X") <br /> Cuts Pits T.Trenches <br /> hafts Tunnels Adits Declines <br /> it Drilling Fluid Drilling Drilling&Blasting <br />