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I. 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? YesEl No <br />K. Specify the Land Management Agency, Address and Telephone Number: <br />No federal lands exist in any of the disturbed areas. The local federal agency is <br />Uncompaghre National Forest, 2250 Highway 50, Delta CO 81416, Phone # 303 -874- <br />6600. <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 />�J 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: gold, silver, lead, zinc, copper <br />8. Estimated dates of commencement and completion: <br />Commencement: 10/15/2011 <br />Completion: 10/15/2013 <br />3 (FORM 2 - Public filing) <br />4,800.00 <br />9. Amount of material to be extracted, moved or proposed to be moved:_ <br />10. Identify the type or method of prospecting proposed and quantity (place an "X") <br />Cuts Pits <br />hafts _ ✓ Tunnels <br />it Drilling _ ✓ Fluid Drilling <br />_Trenches <br />Adits Declines <br />_Drilling & Blasting <br />