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3 (Form 2- Public) <br />C. LOCATION MAP: Attach a USGS 7.5 minute quad, or similar map 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 />Steve Beverlin, District Ranger and Field Office Manager <br />ancos- o ores anger District, an Juan National ores <br />29211 Highway 84 <br />Dolores, CO 81323 <br />F. The prospector is required to 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 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 />U. MAPS & DRAWINGS <br />Accurate topographic base map showing the location of the proposed project must 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, adits, 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 roads. 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 />1. Mineral(s) and/or Resource(s) being Investigated. Metallic Metals <br />2. Estimated dates of commencement and completion: <br />Commencement: 05/15/2009 <br />Completion: 12/31/2019 <br />3. Amount of material to be extracted, moved or proposed to be moved: -0- <br />4. Identify the type or method of prospecting pro osed and quantity (place an 00X") <br />Cuts Pits Trenches <br />Shafts Tunnels Adits _oDeclines <br />Air Drilling Fluid Drilling Drilling & Blasting