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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 />F. The prospector is required to document that the NOT has been sent to the BLM or the USFS. Processing of the NOT will <br />not begin until the prospector has submitted evidence acceptable to the Division that the NOT was sent to the BLM or <br />USFS. Check one: <br />X Evidence of notification is attached to this NOT for BLM Land <br />Evidence of notification is attached to this NOT for USFS Land. <br />Other proof of notice is attached to this NOT <br />II. MAPS & DRAWINGS PLEASE SEE EXHIBIT A <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 />I. identities the proposed prospecting site(s) or activity areas involving surface disturbance. Activity areas include all drill holes, <br />mud pits, excavations, 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, 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 NOl <br />submittal. <br />III PROJECT DESCRIPTION <br />1. Mineral(s) and/or Resource(s) Ding Investigated: -NO CHANGE <br />2. Estin ated dates or curnmertcerne nt and completion: NO CHANGE <br />Commencement: <br />Completion: <br />3. Amount of material to be extracted, moved or proposed to be moved: NO CHANGE <br />4. identify the type or method of prospecting proposed and quantity (place an "X") NO CHANGE <br />Carts Pits Trenches <br />Shafts `funnels Adits Declines <br />Air Drilling Fluid Drilling Drilling & Blasting