Voluntary - 43 Cfr 3809 Exploration Notice Form - United States Department Of The Interior Page 5

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Voluntary – 43 CFR 3809 Exploration Notice Form
a. Drilling (if applicable):
Quantity
Average Width
Average
Average length
Diameter
(ft)
depth (ft)
(ft)
(in)
Mud Pits
varies
N/A
Drill Pads
N/A
N/A
Drill Holes
b. Underground Operations (if applicable): Describe the proposed underground exploration work including
reopening of old workings, advancement of adits or shafts, trenches, pits, cuts, rock dumps, or other
types of disturbance. Further describe dimensions if necessary:
c. Scope of Operation: Clearly state the objective for this operation. Then, describe in detail the type and
extent of the operation to be performed. Provide detailed information for any surface excavation or
other land disturbance including roads, pits, trenches, waste piles, drill pads and collar areas of
underground workings, ponds, etc. For placer type exploration include the amount of material to be
processed from each test site, and the dimension of test sites (Section 3.5). Indicate the different types
and locations of disturbance on the location map(s) in section 2.3.
8. Use and Occupancy (if applicable):
The following information must be included in the proposed Notice in order to comply with the 43 CFR 3715,
Use and Occupancy under the Mining Laws, when use or occupancy exceeds 14-days in a 30-day period. The
definitions of terms are found in 43 CFR 3715.0-5. These regulations apply to public lands administered by the
BLM. A written description of the proposed occupancy that describes in detail: (see 43 CFR 3715.3-2):
a. How the proposed occupancy is reasonably incident;
b. How the proposed occupancy meets the conditions specified in 43 CFR 3715.2 and 43 CFR 3715.2-1
c. Where you will place temporary or permanent structures for occupancy;
Page 5 of 11

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