APPENDIX

APPENDIX #1

Form 3400–6 UNITED STATES | FORM APPROVED

(October 1968) DEPARTMENT OF THE INTERIOR | BUDGET BUREAU NO. 42–R1373.1

BUREAU OF LAND MANAGEMENT |_____________________________

| Date

|_____________________________

APPLICATION FOR SURVEY OF MINING CLAIM |

| SEE INSTRUCTIONS ON REVERSE

_____________________________________________|_____________________________

1. Name of Applicant | Address (include zip code)

(first, middle initial, last)|

____________________________________|______________________________________

Hereby makes application for an official mineral survey of the mining

claims named and identified in this application

___________________________________________________________________________

2. Give group name (if any)

___________________________________________________________________________

3. NAME OF CLAIM(S)

___________________________________________________________________________

| DATE

|_________________________________________

| | | |

NAME OF LOCATION | LOCATED | RECORDED | AMENDED | AMENDED

| | | | RECORDING

_________________________________|_________|__________|_________|__________

| | | |

_________________________________|_________|__________|_________|__________

4. LOCATION OF CLAIM(S)

___________________________________________________________________________

| | |

Section | Township | Range | Meridian

| | |

________|__________|_______|_______________________________________________

| |

County | State | National Forest

| |

___________________|_______|_______________________________________________

5a. Is each claim based on a valid location and fully described in the

certified copy of the record of each location certificate filed with this

__ __

application? |__| Yes |__| No

b. Is each location distinctly marked by monuments on the ground and can

__ __

its boundaries be traced readily? |__| Yes |__| No

___________________________________________________________________________

APPENDIX #1

APPENDIX #2

Form 3860–6 UNITED STATES | Place

(October 1976) DEPARTMENT OF THE INTERIOR |_________________________

(formerly 3400–7) BUREAU OF LAND MANAGEMENT |

| Date

ORDER FOR MINERAL SURVEY |_________________________

To Mineral Surveyor:

Sir:

Application has been filed in this Office by

, dated , 19 .

for an official survey of the mining claim consisting of locations named,

located, and recorded as follows:

___________________________________________________________________________

Group name, if any

___________________________________________________________________________

| DATE |

|____________________________________|

NAME OF LOCATION | | | | AMENDED

| LOCATED | RECORDED | AMENDED | RECORDING

______________________|___________|____________|___________|_______________

| | | |

______________________|___________|____________|___________|_______________

Mining District | County | State

| |

______________________|________________________|___________________________

Section | Township | Range

| |

______________________|________________________|___________________________

Meridian | National Forest

__________________________________|________________________________________

The claim is fully described in the certified copy of the location

certificate filed by the applicant for the survey, copy of which is

enclosed herewith. You are hereby directed to make the survey of said

claim in strict conformity with existing laws, official regulations, and

instructions thereunder, and make proper return of the survey to this

Office.

This survey will be designated as Mineral Survey Number

Very truly yours,

__________________________________________

(Authorized Signature)

__________________________________________

(Title)

APPENDIX #2

APPENDIX #3

No. 345. NOTICE OF LODE LOCATION.--

Bradford Publishing Co., 1824–46 Stout Street, Denver, Colorado

STATE OF________________________|

| SS.

COUNTY OF ______________________|

Know All Men by These Presents, That ______________, the undersigned, ha____

this___________ day of________________, 19___, located and claimed, and by

these presents do _____locate and claim by right of discovery and location,

in compliance with the Mining Acts of Congress, approved May 10, 1872, and

all subsequent Acts, and with local customs, laws and regulations,

____________________ linear feet and horizontal measurement on the

____________________________________________ lode, vein, ledge or deposit,

along the vein thereof, with all its dips, angles and variations as allowed

by law together with ________________ feet on the ________________ side and

________________ feet on the ________________ side of the middle of said

vein at the surface, so far as can be determined from present developments;

and all veins, lodes, ledges, or deposits and surface ground within the

lines of said claim ________________ feet running ________________ from

center of discovery ________________ and ________________ feet running

________________ from center of discovery ________________, said discovery

________________ being situated upon said lode, vein, ledge or deposit, and

within the lines of said claim in _______________________________________

Mining District, County of ________________ and State of ________________

Discovered and located ________________________________, 19___

________________________________ ________________________________

APPENDIX #3

APPENDIX #4

Form. 3400–11 UNITED STATES | Mineral Survey number

(September 1967) DEPARTMENT OF THE INTERIOR |

(formerly 4–683) BUREAU OF LAND MANAGEMENT |_________________________

| State

FIELD NOTES |_________________________

| Land District

_________________________________________________|_________________________

Of the Survey of the Mining Claim of (name and address of Claimant)

___________________________________________________________________________

Known as the (name of group, if any)

___________________________________________________________________________

CONSISTING OF LOCATIONS NAMED AND LOCATED AS FOLLOWS

___________________________________________________________________________

NAME OF LOCATION | DATE

|__________________________

| LOCATED | AMENDED

________________________________________________|_____________|____________

| |

________________________________________________|_____________|____________

Mining district | County

_____________________________________|_____________________________________

Section | Township |Range |Meridian | Survey under order dated

| | | |

____________|____________|___________|__________|__________________________

Survey commenced |Survey completed | Name of Mineral Surveyor

| |

__________________|__________________|_____________________________________

APPENDIX #4

APPENDIX #5

Form 3860–7 UNITED STATES

(November 1976) DEPARTMENT OF THE INTERIOR

(formerly 3400–8) BUREAU OF LAND MANAGEMENT

CERTIFICATE OF SURVEYOR

___________________________________________________________________________

Name of Mineral Surveyor | Date

____________________________________________________|______________________

I Hereby Certify That in pursuance of an order received from the

, at

dated ,19 , I have carefully executed the survey of

the claim of

known as the (lode, placer, or mill site)

situated in , Township ,

Range , Meridian, in the State of .

This survey, designated as number , has been executed by me and under

my direction and has been made in strict conformity with said order, the

Manual of Instructions for the Survey of Public Lands of the United States,

and in specific manner described in the foregoing field notes.

I Further Certify That the labor expended and improvements made

upon and for the benefit of the

(lode or placer) location(s)

embraced in the said mining claim by claimant(s) or

grantors are fully stated in my report. The character, extent, location,

and itemized value are specified in full detail. No portion of, or interest

in, said labor and improvements so credited to this claim has been included

in the estimate of expenditures upon any other claim.

____________________________________ _____________________________________

(Location) (Signature of Mineral Surveyor)

___________________________________________________________________________

CERTIFICATE OF APPROVAL

| Office

|_________________________

| Location

|_________________________

| Date

|_________________________

The foregoing field notes of mineral survey number , in

__ __

, |__| surveyed|__| unsurveyed

Township , Range ,

Meridian, in the State of ,

executed by , Mineral Surveyor,

under order dated , 19 , having been critically examined

and the necessary corrections made prior to their certification by the

surveyor, the field notes and the survey therein described are hereby

approved.

____________________________________ _____________________________________

(Authorized Signature) (Title)

CERTIFICATE OF TRANSCRIPT

I Hereby Certify That the foregoing transcript of field notes of

the above-described mineral survey number is a true copy of the

original field notes.

____________________________________ _____________________________________

(Authorized Signature) (Title)

___________________________________________________________________________

Title 18, U.S.C. section 1001, makes it a crime for any person knowingly

and willfully to make to any department or agency of the United States any

false, fictitious, or fraudulent statements or representations as to any

matter within its jurisdiction.

___________________________________________________________________________

APPENDIX #5

APPENDIX #6

Form 3860–8 UNITED STATES | Serial Number

(February 1977) DEPARTMENT OF THE INTERIOR |

BUREAU OF LAND MANAGEMENT |

|_______________________

CERTIFICATE OF EXPENDITURES, IMPROVEMENTS, | Date

AND MINERAL SURVEY |

___________________________________________________|_______________________

Name of Claimant | Mineral Survey Number

___________________________________________________|_______________________

I Hereby Certify That the | I Further Certify That the

record of the above-described | record reveals not less than $500

mineral survey furnishes such an | worth of labor has been expended for

accurate description of all claims | improvements upon or for the benefit

embraced within the survey that it | of each of the lode claims embraced

will, if incorporated into a patent, | within the survey and that the

serve fully to identify the premises | improvements were made by the

and that references are made in the | claimant or his grantors.

survey to natural objects or |

permanent monuments so that the |

location of the claims will be |

perpetuated and fixed. |

_____________________________________|_____________________________________

Date | Authorized Signature

________________|__________________________________________________________

(See reverse)

APPENDIX #6

APPENDIX #7

Form 3400–5 UNITED STATES | Place

(December 1966) DEPARTMENT OF THE INTERIOR |_____________________________

(formerly 4–286a) BUREAU OF LAND MANAGEMENT |

| Date

|_____________________________

| INSTRUCTIONS

| The Director, Bureau of Land

| Management, and the manager

APPROVAL OF MINERAL SURVEY | of the appropriate land (or

| land and survey) office must

| be notified of the approval

| of each mineral survey,

| using this form.

_____________________________________________|_____________________________

_____________________________________

Sir:

The following described mineral survey was approved on , 19 :

___________________________________________________________________________

SURVEY NUMBER | NAME OF CLAIM | ACRES

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

| |

______________|_________________________________________________|__________

This survey is actually in conflict with the following approved mineral

survey(s) listed by name and number, as marked, defined, and established on

the ground

___________________________________________________________________________

Applicant for survey (name and address)

___________________________________________________________________________

Survey made by , Mineral Surveyor.

___________________________________________________________________________

The following legal subdivisions are covered in whole or in part by this

survey, if situated on surveyed lands

___________________________________________________________________________

The survey is shown on the diagram below, sketched as actually marked,

defined, and established on the ground with respect to the lines of the

public land surveys; data relating to courses and distances have been

omitted.

___________________________________________________________________________

NOTE -- This sketch will be made in each case where upon surveyed land,

whether or not there are any conflicting approved mineral surveys.

Conflicting mineral surveys, however, will not be shown upon the sketch.

___________________________________________________________________________

Section , Township , Range Section , Township , Range

_____________________________________ ____________________________________

(Title)

___________________________________________________________________________

APPENDIX #7

APPENDIX #8

No. 162. LOCATION CERTIFICATE--Lode Claim.--

Bradford Publishing Co., 1824–46 Stout Street, Denver, Colorado

Know All Men by These Presents, That ____________________________________________

___________________________________________________________________________

ha____ located the ______________________________________ lode mining claim,

and by this certificate, and by right of discovery and location, claim_____

___________________________________ feet, linear and horizontal measurement

along the vein thereof, with all its dips, angles and variations as allowed

by law ____________________________ feet on said vein running _____________

_____________ from the center of the discovery ____________________________

and feet running ___________________________________ from the center of the

discovery ____________________________ , together with ____________________

______________ feet on each side of the middle of said vein at the surface,

and all veins, lodes, ledges, deposits and surface ground within the lines

of said claim, situate in _________________________________ Mining District,

County of _________________________, and State of _________________________

and described by metes and bounds as follows, to wit:

Beginning at Corner No. 1 _________________________________________________

___________________________________________________________________________

Said lode was discovered on the _______ day of _______________, 19____

and located on the ______________ day of __________________________, 19____

Dated this _______________ day of ____________________________, 19____

________________________________[SEAL]

___________________________________________________________________________

APPENDIX #8

APPENDIX #9

No. 114. ADDITIONAL AND AMENDED LOCATION CERTIFICATE.

--Bradford-Robinson Ptg. Co., Mfrs. Robinson’s Legal Blanks, 1824–46 Stout

St., Denver, Colorado

STATE OF COLORADO, }

}

} SS. Know All Men By These Presents,

County of _______________}

That ______________________________________________________________________

___________________________________________________________________________

the undersigned, ha___ this _____________ day of ___________________, 19___

amended, located and claimed and by these presents do _____ amend, locate

and claim, by right of the original discovery and this Additional and

Amended Location Certificate, in compliance with the Mining Acts of

Congress, approved May 10, 1872, and all subsequent acts, and with Sections

169 and 182, Chapter 110, 1935 Colorado Statutes Annotated, and with local

customs, laws and regulations _____________________________________________

____________________________________ linear feet and horizontal measurement

on the ________________________________________________________ lode, vein,

ledge or deposit, along the vein thereof, with all its dips, angles and

variations, as allowed by law, together with ______________________________

feet on the __________________________ side, and __________________________

feet on the __________________________ side of the middle of said vein at

the surface, so far as can be determined from present developments, and all

veins, lodes, ledges or deposits and surface ground within the lines of

said claim __________________________ feet running ________________________

from center of discovery ________________ and ________________ feet running

__________________________ from center of discovery _______________________

said discovery _____________________________ being situated upon said lode,

vein, ledge or deposit, and within, the lines of said claim, in ___________

____________Mining District, County of _______________________ and State of

Colorado, described by metes and bounds as follows, to-wit:

Beginning in Corner No. 1

This being the same lode originally located on the _________________ day of

______________________ 19____, and recorded on the _________________ day of

______________________ 19____, in Book ________ Page ________ in the office

of the Recorder of ____________________ County. This further Additional and

Amended Certificate of Location is made without waiver of any previously

acquired rights, but for the purpose of correcting any errors in the

original location, description or record, and of taking in and acquiring

all forfeited or abandoned overlapping ground, and of taking in any part of

any overlapping claim which has been abandoned, and of securing all the

benefits of said Sections 169 and 182, Chapter 110, 1935 Colorado Statutes

Annotated.

Said lode was discovered the ________ | ___________________INTEREST. [SEAL]

day of _________________ A. D. 19____ | ___________________INTEREST. [SEAL]

ATTEST: | ___________________INTEREST. [SEAL]

_____________________________________ | ___________________INTEREST. [SEAL]

Date of Additional and Amended Cer- | ___________________INTEREST. [SEAL]

tificate _______________ A. D. 19____ | ___________________INTEREST. [SEAL]

APPENDIX #9

APPENDIX #10

_________________________

| |

| FOR RECORDER’S USE ONLY |

| |

Recorded at the request of: NOTICE | |

| |

________________________________ | |

| |

When recorded please mail to: | |

OF | |

Name ___________________________ | |

| |

Street _________________________ | |

LOCATION | |

| |

City ___________________________ | |

| |

State __________________________ LODE | |

| |

|_________________________|

TO WHOM IT MAY CONCERN: Please take notice that:

1. The name of this claim is the _____________________ Lode Mining Claim.

Said claim is situated in the vicinity of _______________________ or in the

________________________________________________ Mining District, County of

San Bernardino, State of California.

The date of this location is the __________ day of _________________, 19___

2. The undersigned locators are citizens of the United States, or have

declared their intention to become such.

3. The said locator___ do____ hereby locate and claim ___________________

(Not to exceed 1500)

linear feet of this vein or lode, together with surface ground extending

___________________ feet in width on each side of the middle of said vein

(Not to exceed 300)

or lode and more particularly described as follows:

Commencing at the monument where this notice is posted, which monument is

at the point of discovery on said vein or lode and on the center line of

this location _________ hereby claim ______________ feet extending in a

(I or We)

______________ direction along the course of said vein from the discovery

monument and _______________ feet in a _______________ direction from the

discovery monument, along the course of said vein.

The general course of said vein is in a _________erly and ___________erly

direction.

The discovery monument is situated about ________________________________

___________________________________________________________________________

(Distance from natural object or permanent monument and give direction)

___________________________________________________________________________

4. All dips, variations, spurs, angles and all veins, ledges, or deposits

within the lines of this claim, together with all water and timber and any

other rights appurtenant, allowed by the laws of this State or of the

United States are hereby claimed.

LOCATORS

___________________________________________________________________________

STATEMENT OF THE MARKING OF THE BOUNDARIES

AND OF PERFORMANCE OF DISCOVERY WORK

NOTICE IS HEREBY GIVEN by the undersigned locator--that in accordance with

the provisions of the Mining Law:--

1. There has been erected at the discovery point, at each corner and at the

center of each end line of said claim

___________________________________________________________________________

2. The Locator has performed the following discovery work: ________________

___________________________________________________________________________

DATED _____________________, 19___

LOCATORS

______________________________________

PA 1561–-4M–3–62 ______________________________________

APPENDIX #10

APPENDIX #11

No. 296. LOCATION CERTIFICATE.--Tunnel.--Bradford Publishing Co., 1824–46

Stout Street, Denver, Colorado--3–72

___________________________________________________________________________

STATE OF ________________________}

}

} SS.

}

County of _______________________}

TO ALL WHOM THESE PRESENTS MAY CONCERN: Know ye, that _____________________

___________________________________________________________________________

______________________________________ citizen_____of the United States, of

_____________________________, County of ___________________________, State

of ____________________, do hereby declare and publish as a legal notice to

all the world, that _____ have a valid right to the occupancy, possession

and enjoyment of the ______________________________________________________

_________________________________, located _________________________, 19___

for the discovery of mines and the development of lodes, and situate in

_________________________________ Mining District, ________________________

County, State of _________________________, described as follows, to-wit:

Mouth of tunnel situate _________________________________________________

_____________________________________________; from the mouth of the tunnel

___________________________________________________________________________

Size of tunnel ________________ feet wide by ______________ feet high in

the clear.

Course of tunnel from its mouth, __________________________ 3,000 feet to

the ________________ end of said tunnel, at which end is set a substantial

______________________________ being the end _____________________________,

and between the tunnel mouth and the end _______________________ the center

line of the tunnel is marked at _________ feet, __________ feet, _________

feet, _________ feet, _________ feet, _________ feet, _________ feet from

the mouth by marked stakes or blazed and marked trees. From the end

___________________________________________________________________________

bears _____________________________________________________________________

___________________________________________________________________________

from said end ______________, set a stake _________________________________

___________________________________________________________________________

from said end ______________, set a stake _________________________________

___________________________________________________________________________

from mouth of tunnel set a stake __________________________________________

___________________________________________________________________________

from mouth of tunnel set a stake __________________________________________

___________________________________________________________________________

which last four mentioned stakes _____________________ the exterior corners

of the claim of said tunnel site.

And ___________________ claim for line of tunnel 1,500 feet on each side

of the center of the bore or course of the tunnel, and the right to all

lodes which may be discovered in the due prosecution of said tunnel within

1,500 feet on each side of the center of said line.

_______________________ also claim a square tract of land 125 feet on

each side of the mouth of tunnel and extending 250 feet immediately below

the mouth of the tunnel, as staked upon the ground, for dumping purposes.

Together with all and singular the hereditaments and appurtenances

thereunto belonging or in anywise appertaining, and all rights granted to

the locator ___________________ as tunnel rights under the terms of Section

2323 of the Revised Statutes of the United States.

WITNESS __________ hand___ and seal___ this _________________________ day

of ______________________, 19___

_____________________________________[SEAL]

___________________________________________________________________________

APPENDIX #11

APPENDIX #12

STATE OF ________________________}

} SS.

County of _______________________}

Before me, the subscriber, a notary public in and for said County,

personally appeared _______________________________________________________

___________________________________________________________________________

to me personally known to be the same person_____described in and who

executed the within declaration of occupation, and acknowledged that ______

h_____ signed, sealed and published the same as ______h_____ free and

voluntary act and deed for the uses and purposes therein set forth.

WITNESS my hand and seal, this _____________ day of _____________________,

19____

My commission expires _____________________________________________, 19____

_____________________________________________________

Notary Public.

___________________________________________________________________________

STATE OF ________________________}

} SS.

County of _______________________}

___________________________________________________________________________

of the Count ______ of ___________________________________________ State of

______________________, being first duly sworn according to law, depose and

say_______: That_____h_____ citizen___ of the United States over the age of

twenty-one years; that _____ h_____ owner_____ by pre-emption, location and

occupation of the foregoing tunnel site, the said tunnel being prosecuted

for the development of lodes belonging to said affiant_______, also for the

discovery of other lodes; affiant___ further say ______ that ____ h_______

ha___ expended in actual work and improvements on said tunnel not less than

__________________________________________________________________ Dollars,

and that said tunnel has already been run the distance of _________________

___________ feet, and that it is bona fide ___ h______ intention to

prosecute work on said tunnel, so located and described, with reasonable

diligence for the purposes therein set forth.

____________________________________________

SUBSCRIBED and sworn to before me this ________________________________ day

of ____________________________, 19____

My commission expires ______________________________________________, 19___

____________________________________________

Notary Public.

_______________________________________

LOCATION CERTIFICATE

OF TUNNEL AND TUNNEL SITE

_______________________________________

Tunnel and Tunnel Site of _____________

_______________________________________

in _____________________________ Mining

District, _____________________ County,

State of ______________________________

_______________________________________

STATE OF ________________________}

} SS.

County of _______________________}

I hereby certify that this Location

Certificate was filed for record in my

office at _____________ o’clock ____M.,

_________________________________ 19___

and is duly recorded in book __________

at page _______________________________

_______________________________________

Recorder.

By ____________________________________

Deputy.

_______________________________________

Fees, $________________________________

_______________________________________

---------------------------------------

BRADFORD PUBLISHING COMPANY CO., DENVER

APPENDIX #12

APPENDIX #13

Recorded at________o’clock______M.,_________________

Reception No._____________________________ Recorder.

--------------------------------------------------------------

Know All Men By These Presents: That,______________________________

______________________________________________________________

the undersigned citizens of the United States, residents of

the County of_______________, State of________________________,

having complied with the provisions of Chapter 6, Title XXXII,

of the Revised Statutes of the United States, and with the

local customs, laws and regulations, claim by right of

discovery and location, The ___________________________________

placer claim, situate, lying and being in______________________

Mining District, County of_______________________, and State of

____________________, described by metes and bounds as follows,

to wit:

_______________________________________________________________

______________________________ area ____________________ acres,

said claim was located on the_______ day of__________, 19_____.

Date of certificate________________________, 19_____.

Attest:

___________________________________

No. 161. PLACER LOCATION CERTIFICATE.--Bradford Publishing Co.,

1824–46 Stout Street, Denver, Colorado (573–5011)-–5–77

APPENDIX #13

APPENDIX #14

No. 270. LOCATION CERTIFICATE--Mill Site.--Bradford Publishing Co.,

1824–46 Stout Street, Denver, Colorado (573–5011)-–6–77

-------------------------------------------------------------------

LOCATION CERTIFICATE OF MILL SITE

STATE OF_________________ }

} SS.

County of_________________ }

To All Whom These Presents May Concern:

Know ye that ____________________________________________________

___________________________________________________________________

of ________________________________________________________________

___________________________________________________________________

do______hereby declare and publish as a legal notice to all the

world that_______have a valid right to the occupation, possession

and enjoyment of all and singular that tract or parcel of land not

exceeding five acres, situate, lying and being

in_____________________________________________Mining District, in

the County of_________________, in the State of__________________,

bounded and described as follows, to wit:

The______________________Mill Site,beginning at Cor. No. 1_______

_________________________________________________________________

together with all and singular the hereditaments and

appurtenances thereunto belonging or in anywise appertaining.

Witness______hand_____and seal______, this__________day

of________, 19____.

_______________________________[SEAL]

------------------------------------------------------------------

APPENDIX #14