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II. MAPS & DRAWINGS <br />3 <br />*14 <br />(FORM 1 - All information for DRMS use and confidential filing) <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 a No H <br />E. Specify the Land Management Agency, Address and Telephone Number: <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 />— <br />Evidence of notification is attached to this NOI for USFS Land. <br />_a_ Other proof of notice is attached to this NOI <br />RECEIVED <br />AUG 2 8 2012 <br />Division of Reclamation, <br />7 4, Mining & Safety <br />Accurate topographic base map showing the location of the proposed project must be submitted with this notice. The <br />prospector 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 <br />holes, mud pits, excavations, trenches, adits, shafts, tunnels, rock dumps, stockpiles, impoundments and prospecting roads, <br />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: l7"0 \ tk1J+ <br />2. Estimated dates of commencement and completion: <br />Commencement: ptu6a511 201 Z. , <br />Completion: A0.1yt15 l p1 b % 3 <br />3. Amount of material to be extracted, moved or proposed to be moved: <br />4. Id y the type or methnd.of prospecting osed and quantity (place an "X ") <br />Cuts Pits <br />Trenches <br />hafts unnels = Adits Declines <br />it Drilling Fluid Drilling Drilling & Blasting <br />