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1 <br /> 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 /> N/A <br /> C. LOCATION MAP:Attach a USGS 7.5 minute quad, or similar map of adequate scale,which <br /> locates the prospecting site(s). See attached <br /> D. Are prospecting sites (e.g. drill holes,trench Yes ❑ No ZI <br /> locations, etc.) staked on the ground? <br /> E. Specify the Land Management Agency,Address, and Telephone Number: <br /> Agency <br /> BLM Tres Rios Field Office <br /> Address 2911 CO-184 <br /> City, State, Zip Dolores, CO, 81323 <br /> Telephone (970) 882-7296 <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 /> Z 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 />