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3 (Forte 2- Public) <br />sec 3, loss 16 to 19, inclusive; sec 4, Iota 5 to 20, inclusive; seo. 6, lots 1 to 3, Inclusive, 8112NE1/4, <br />W1i4,S1/2SW1/4, and—SET/4; sects, all; sec 9, N11214112, SWIT4NE1t4, and S1t2Nw174 <br />C. ,LOCATION MMAI': Attach n USGS 7.5 minute quad, or similar map of adequate scale, which locates the prospecting <br />site(s). <br />D. Aro prospect sites (e.g., drill holes, trench locations, etc...) staked on the ground? Yes D No <br />E, Specify the Land Management Agency, Address and Telephone Number: <br />BLM, White River Field Office, Meeker, CO 970.87 3800 <br />E. The prospector is required to document that the NOT has been sent to the BLM or tho 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 />• <br />i <br />Evidence of notification is attached to this 110I for BLM Land <br />Evidence of notification is attached to this 140I for USFS Land. <br />Other proof of notice is attached to this NOI <br />1i. MAPS & DRAWINGS <br />Accurate topographic base map showing the location of the proposed project must bo submitted with this notice. The prospector <br />may submit a U.S.O.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 holes, <br />mud pits, excavations, trenches, edits, shafts, 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 bo affected and those that <br />are not anticipated to be affected. 'this includes the location of all drill holes, thud pits, excavations, trenches, edits, shafts, <br />hanneis, rock chimps, 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 />111 PROJECT DESCRIPTION <br />1. Minerals) and /orResource(s) being Investigated: 011 shale, nahcollte <br />2. Estimated dotes of commencement and completion: <br />c ommencemen t : 01101/2012 <br />Completion; 12/31/2022 <br />3, Amount of material to be extracted, moved or proposed to be moved:,, See attached <br />4. I lcntity the type or me hod of prospecting pro °sell and quantity (place an "?t, <br />,Cuts Pils Trenches <br />Shafts Tunnels Adils ri Declines <br />Air Drilling Iuid Drilling _ Drilling & Blasting <br />