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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 I V I No <br />E. Specify the Land Management Agency,Address and Telephone Number: <br />Agency Daniel Pike, BLM <br />Address 3028 E Main St <br />City,State,Zip Canon City, CO 81212 <br />Telephone 719 )269-8522 <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 />EEvidence 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