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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 /> Groundhog-33 CMC 292191 T45N R18W Sec 21 NE NE <br /> Groundhog-35 CIVIC 292193 T45N R18W Sec 21 NE NE <br /> Groundhog-37 CMC 292195 T45N R18W Sec 22 NW NW <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 R1 No Ill <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> Agency Bureau of Land Management, Tres Rios Field Office <br /> Address 29211 Highway 184 <br /> City,State,zip Dolores, CO 81323 <br /> Telephone (970 )882-1135 <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 /> 0 Evidence of notification is attached to this NOI for BLM Land <br /> Evidence of notification is attached to this NOI for USFS Land. <br /> Other proof of notice is attached to this NOI <br /> Form 2—Public File Page 4 of 14 <br />