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2 (FORM 2 - Public filing) <br />RANGE (write number and check direction) R75 East West F1 <br />QUARTER SECTION (check one):�NE NW SE ✓ SW <br />QUARTER/QUARTER SECTION (check one): NE ✓ NW SE F SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />Montezuma is approximately 5 miles NW of proposed work site, and the elevation is 11,680 feet <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 />See attached Pike National Forest proposed work for map and location. <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: Dana J Caccamise II <br />Address: 1040 Cross Country Drive <br />Columbus, Ohio 43235 <br />Telephone: 614- 563 -2244 <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 />Red Cone Mill Site 294,550 Red Cone Mill Sotp SPn 1 T6S R76W <br />Red Cone (1 through 20) 284530 - 284549 Red Cone Sec. 12 & 13 T6S R76W <br />See attached map Red Cone Sec. 7 & 18 T6S R75W <br />