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3 (Form 2- Public) <br />Y C. LOCATION MAP: Attach a USGS ?S minute quad, or similar map of adequate scale, which locates die prospecting <br />site(s)- <br />D. Are prospect sites (e.g., drill holes, trench locations, etc...) staked an the ground? Yes No <br />E. Specify the Land Management Agency, Address and Telephone Number: <br />F. The prospector is required to document that the NOT has been sent to the BLM or the USFS. Processing of the NO) will <br />not begin until the prospector has submitted evidence acceptable to the Divm nt that the NOI was sent to the BLM or <br />USFS. Greek one. <br />Evidence of notification is attached to this NOT for BLM Land <br />Evidence of notiftcation is attached to this NOI for USFS Land. <br />Other proof of notice is attached to this NOT <br />H. MAPS & DRAWINGS <br />Accurate topographic base map showing the location of the proposed project trust be submitted with this notice. The 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 site(s) or activity areas involving surface disturbance. Activity areas include all drill holes, <br />mud pits, excavations, trenches, adds, shafts, 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, mud pits, excavations, trenches, adits, shafts, <br />tunnels, rock dumps, stockpiles, impoundments and prospecting toads. Color photographs, adequately labeled (including <br />date, orientation and location), of the prospecting site may be used to fulfill this requirement if included with the NOI <br />submittal. <br />III -PROJECT DESCRIPTION <br />I . Mineral(s) and/or Resource(s) being Investigated: <br />2. Estimated dates of commencement and completion: <br />Commencement: <br />Completion: <br />3. Amount of material to be extracted, moved or propose/ to be moved:- F ton Pm-r Y.r . <br />4. Identify the type or method of prospecting proposed and quantity (place an "°X") <br />_X--.Guts Pits Trenches <br />Shafts Tunnels `X_Adits Declines <br />X... Air Drilling FhW Drilling Trilling & Blasting <br />AA7 i- 1'+mc 1+c o., t+ere .?...... 10A')