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2 (FORM 2 - Public filing) <br />RANGE (write number and check direction) R71 East West <br />QUARTER SECTION (check one):-0 NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE �SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />2.5 miles south east of Jamestown, CO property ranges from 6,500- 7,100ft. <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or as supplemental information to <br />this NOI. GPS measurements will be acceptable for this purpose: <br />40 06'37-42" North 105 21'08-84" West <br />11. LAND O RSHIP ❑ <br />Private Public Domain (BL National Forest (USFS) ✓ <br />State State Sovereign Lands Other (please describe): <br />If prospecting is located on BLM or USFS land the remaining section must be completed, <br />otherwise go to section II Maps & Drawings <br />12. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND AND U.S. FOREST SERVICE (USFS) <br />LAND <br />The Division and the BLM/USFS have entered into cooperative agreements that eliminate the need for a prospector to post a <br />financial warranty with each agency and allow them to coordinate the review of the NOi in order to minimize administrative <br />processing time and effort. <br />G. CLAIMANT: <br />Name: Pat Farr <br />Address.. 2601 Willow Park St. <br />Richland Hills, TX 76118 <br />Telephone: (817)845 -9519 <br />Fax Number: <br />H. SITE /CLAIM INFORMATION: <br />List names, serial numbers and provide legal description to nearest quarter - quarter section of all sites or claims (attach <br />additional page, if necessary). <br />NAME SERIAL NUMBER LEGAL DESCRIPTION <br />Rosemary CMC279638 6th T2N R71 W Sec28NW <br />Resthaven CMC279639 6th T2N R71 W Sec28NW & 6th T2N R71 W Sec29 NE <br />Rip Van n Apex GAl4o279-640 6T�P1 0�� Sec>INW <br />Golden Pricess CMC279641 6th T2N R71W Sec28NW <br />Gold age Sec28NW <br />Gold n, lees CMC979643 6th 12N R71 W Sec28NW <br />