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2019-01-04_PERMIT FILE - P2019001 (3)
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2019-01-04_PERMIT FILE - P2019001 (3)
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Last modified
12/27/2024 7:45:45 AM
Creation date
1/7/2019 11:45:15 AM
Metadata
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Template:
DRMS Permit Index
Permit No
P2019001
IBM Index Class Name
PERMIT FILE
Doc Date
1/4/2019
Doc Name
Application
From
Mike Wild
To
DRMS
Email Name
ERR
MAC
Media Type
D
Archive
No
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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 /> NAME AQ <br /> SERIAL NUMBER LEGAL DESCRIPTION <br /> IVRIfM-4 <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 <br /> locations, etc.) staked on the ground? Yes ❑ No ❑ <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> Agency / <br /> I� r_�; <br /> Address <br /> d r/U 14 o�Q <br /> City, State,Zip <br /> & - <br /> Telephone ( �j 1 <br /> l <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 /> E30ther proof of notice is attached to this NOI <br /> Form 2—Pubkc File Page 4 of 14 <br />
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