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3 (Form 2- Public) <br />C. I.OCA's___ MN 1??M: Attach a USGS 7.5 minute quad, or similar trap of adequate scale, which locates the prospecting <br />site(s). <br />D. Are prospect sites (e.g., drill holes, trench locations, etc...) staked on the ground? Yes No <br />E. Specify the Land Management Agency, Address and Telephone Number, <br />.tee <br />F. The prospector is required W document that the NOI has been sent to the BLM or the USFS. Processing of the NOI will <br />not begin until the prospector has submitted evidence acceptable to the Division that the NOI was sent to the BLM or <br />USFS. Check one: <br />Evidence of notification is attached to this NOl for BUW Land <br />Evidence of notification is attached to this NOI for USFS Land. <br />Other proof of notice is attached to this N01 <br />Q' M . A W1N <br />Accurate topographic base map showing the location of the <br />scale must t: submitted with this notice. the prospector <br />may submit a U.S.G.S. 7.5 minute quadrangle, or similar map project <br />adequate sea;e that: <br />1, identifies the proposed prospecting site(s) or a <br />mud piss, excavations, ctivity areas involving surface disturbance. Activity areas include all drill holes, <br />trenches, adits, shags, tunnels, rock dumps, stockpiles, impoundments and prospecting roads, and <br />2. includes sufficient detail to identify and locate known prospecting features and facilities that may be affected and those that <br />are not anticipated to be affected. This includes the location of all drill holes, thud pits, excavations, trenches, adits, shafts, <br />tunnels, rock dumps, stockpiles, impoundments and prospecting roads. Color hoto <br />date, orientation and location), of the p tls, adequately labeled (including <br />submittal. Pt site may be used to fulfill this requirement if included with the NO[ <br />III PRWEVT nV_Q gJrIrNw <br />1. Mfnersl(s) and/or Itesource(s} being Investigated: <br />_...__...._ __._...___._.._.__...._...... ._....____. <br />?. Estfirnated dat?€s of eomencement stir. et?trgtle#iort: <br />Cetmmence ent: <br />Completion. <br />I Amount or material to be extracted, moved or proposed to be moved. l <br />4. Identify the type or method o(prospecting proposed and quantity (place an "R") <br />Cuts ,,,,__,,,,,Pits ?Trenche??/? <br />.Shafts - - 1 unnels -Adits _.Declirws <br />-Air frilling l+luiJ Drilling _Drilling & l3lasting