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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 <br />Address <br />City, State, Zip <br />Telephone 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 />FillEvidence of notification is attached to this NOI for BLM Land <br />F0_1 Evidence of notification is attached to this NOI for USFS Land. <br />010ther proof of notice is attached to this NOI <br />Form 1— DRMS Use and Confidential File Page 4 of 14 <br />