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3 (FORM 2 - Public filing) <br />1. LOCATION MAP: Attach a USGS 7.5 minute quad, or similar map of adequate scale, which locates the prospecting <br />site(s). <br />J. Are prospect sites (e.g., drill holes, trench locations, etc...) staked on the ground? Yesy No <br />K. Specify the Land Management Agency, Address and Telephone Number: <br />USDA Forest Service US Department of the Interior <br />Divide Ranger District BLM Colorado State Office <br />13308 West Highway 160 2850 Youngfield Street <br />Del Norte CO 81132 Lakewood CO 80215-7076 <br />(719) 657-3321 (303) 239-3700 <br />L. 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 />!=i Evidence of notification is attached to this NOI for USFS Land. <br />Other proof of notice is attached to this NOI <br />II. 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 />3. 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 />4. 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 />7. Mineral(s) and/or Resource(s) being Investigated: Silver, Gold, Lead, Zinc <br />8. Estimated dates of commencement and completion: <br />Commencement: 07/01/2011 <br />Completion: 10/30/2011 Appro11??1250 c,,hi? -Fee-+ ac dr('11 core- <br />9. Amount of material to be extracted, moved or proposed to be moved: Cl; C4 ld1TfY?G:T ?ro inn la dmil r-des. <br />10. Identify the type or method of prospecting proposed and quantity (place an "X") <br />Cuts Pits Trenches <br />hafts Tunnels PAdits Declines <br />it Drilling ? Fluid Drilling Drilling & Blasting