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2014-06-10_REVISION - P2008046 (3)
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2014-06-10_REVISION - P2008046 (3)
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Entry Properties
Last modified
6/15/2021 11:31:17 AM
Creation date
6/10/2014 12:14:39 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2008046
IBM Index Class Name
Revision
Doc Date
6/10/2014
Doc Name
Modification Submittal
From
American Shale Oil, LLC
To
DRMS
Type & Sequence
MD9
Email Name
THM
GRM
Media Type
D
Archive
No
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2 (FORM 1 -All information for DRMS use and confidential filing) <br /> TOWNSHIP(write number and check direction)T North South--� <br /> RANGE(write number and check direction) R East West !_J <br /> QUARTER SECTION(check one):_NE NW&INWISE <br /> SE SW <br /> QUARTER/QUARTER SECTION(check one): NE [ISW <br /> GENERAL DESCRIPTION:(the number of miles and direction to the nearest town and the approximate elevation): <br /> NOTE: Supple longitude and latitude or UTM coordinates if lands have not been surveyed or as supplemental information to <br /> this N01. GPS measurements will be acceptable for this purpose: <br /> 6. LAND 03INJERSHIP ❑ <br /> Private Public Domain(B National Forest(USFS <br /> L. ) <br /> State State Sovereign Lands Other(please describe): <br /> If prospecting is located on BLM or i;SFS land the remaining section must be completed, <br /> otherwise go to Section II,Maps& Drawings <br /> 7. PROSPECTING ON BOREAL'OF LAND INIANAGEMENT(BLA1)LAND AND O.S.FOREST SERVICE(USFS) <br /> LAND <br /> The Division and the BLM/L'SFS 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 /> A. CLAIMANT: <br /> Name: <br /> Address: <br /> Telephone: <br /> Fax Number: <br /> B. 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 />
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