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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 SERIAL NUMBER LEGAL DESCRIPTION <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 Forest Service - San Juan National Forest <br /> Address 15 Burnett Court <br /> City,State,zip Durango Co 81301 <br /> Telephone (970 ) 385-1372 <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 /> 4—�1 Evidence of notification is attached to this NOI for USFS Land. <br /> Other proof of notice is attached to this NOI CQ <br /> o NOT P_ Q Ul r�d) <br /> Form 2—Public File Page 4 of 14 <br />