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I. LOC ATION %IAP: attach a USGS ".5 minute quad. of similar map of adequate scale. which locates the prospecting <br />site(S I <br />3. Ale prospect sites 1 e.2 . drill holes. trench locations. etc .1 staked on the ground' I esEl No I L <br />Ii Specify the Land Management Agency. Address and Telephone Number: <br />USFS,Mr. Mike Johnson <br />2140 Yarmouth Ave. <br />B oulder. <br />L The prospector is iequued to document that the \OI has been sent to the BLM or the USFS. Piocessmg of the NOI will <br />not begin until the prospector has submitted evidence acceptable to the Division that the NOI teas sent to the BLM 01 <br />USFS. Check one: <br />II. MAPS & DRAWINGS <br />Accra ate topographic base map showing the location of the proposed piotect must be submitted with this notice The prospector <br />may submit a L S C1 S. - 5 minute quadrangle. or sumlai map of adequate scale that <br />i <br />identifies the proposed prospecting Sltel s I 01 activity aleas involving surface disturbance Activity areas include all drill holes. <br />mud p115. excavations. trenches. adits. shafts. tunnels. rock dumps. stockpiles. impoundments and prospecting roads. and <br />4 includes sufficient detail to identify and locate known prospecting feanll es and facilities that may be affected and those that <br />ale not anticipated to be affected This includes the location of all drill holes. mud pits. excavations. trenches. adits. shafts. <br />numels. lock dumps. stockpiles. impoundments and prospecting loads Color photographs. adequately labeled 1 incuc1in <br />date. oIientatlon and location (. of the prospecting site may be used to fulfill this requirement if included with the NOI <br />subimttal. <br />III PROJECT DESCRIPTION <br />3 ( FORM 2 - Pnblic �lirro) <br />Evidence of notification lS attached to this NOI for BLM Land <br />Evidence of notification is attached to this NOI foi USES Land <br />Other proof of notice is attached to this NOI <br />Mineral(s) and or Resource(s) being Investigated: Gold. silver and other base metals <br />Estimated dates of commencement and completion: <br />Commencement. 05/01/2012 <br />C omnpletion 10/15/2013 <br />0 325.00 <br />Amount of material to be extracted, moved or proposed to be moved: <br />10 Identify the type or me hod of prospecting proposed and quantity (place an - X") <br />C tuts <br />hafts <br />Drilling <br />Pits <br />Ttuulels <br />Fluid Dulling <br />Ti enches <br />Adln [ ( Declines <br />_ D1i11in & Blasting <br />7 <br />x <br />