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3 (Form 2- Public) <br />C. I,OCATIQI~i :YtAP: Attach. a USGS ?.5 minute yuad, or similar map of adequate scale, which locates the prospecting <br />sites}. <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 `1'eiephone Number: <br />~~ <br /> <br />F. The prospector is required to document that the NOI has been sent to the BLM or the USES. 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 />USI.'S. Check one: <br />-~_ ence of notification is attached to this NO.I for Bl,>Vt band <br />._.___ vidence of notification is attached to this NOI for USFS band. <br />__,,_,__ ...__ Other proof of notice is attached to this NOl <br />II. MAPS & DRAWINGS <br />Accurate topographic base ,nap showing the location of the proposed project must be submitted with this notice. 'I'lte prospector <br />may submit a U.S.G.S. 7.5 minute quadrangle, or similar map of adequate scale that: <br />1. identifies the proposed prospecting sites} or activity areas involving surface disturbance. Activity areas include all drill holes, <br />mud pits, excavations, trenches, adits, shafts, tunnels, rock dumps, stockpiles, impoundments and prospecting roads, and <br />2. includes stiff eient detail to identify and locate known prospecting features and facilities that maybe affected and those that <br />are not anticipated to be affected. This includes the location of all drill. holes, mud pits, excavations, trenches, adits, shafts, <br />tunnels, rock dumps, stockpiles, impoundments and prospecting roads. Color photographs, adequately labeled (includi.ng <br />date, orientation and location), of the prospecting site may be used to fulfill this requirement if included with the NOl <br />submittal. <br />CTI PROJECT DESCRIPTION <br />1. illneraf(s} and/or Resaurcc(s} being Investigated:.. <br />2.. I!~stintated dates of commencement and completion: <br />C;osnmencement: <br />Cc„npletion: <br />3. Amaunt of material to be extracted, moved or praposed to be moved: <br />4. Identify the type or met.had of prospecting proposed and quantity (place an "X"} <br />Pits <br />Cuts "I'rea~ches <br />_X Shafts `I"u.nni;ls Aclits I)ecl.i.tres <br />__sAir Drilling Fluid l:)rilling _ Drilling a~;131:3sti:s~. <br />