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2 (FORM I - All information for DBMS use and confidential filing) <br />TOWNSHIP (write number and check direction) T1 2 North South <br />RANGE (write number and check direction) R71 East West - <br />QUARTER SECTION (check one): _aNE NW SE SW W <br />QUARTER/QUARTER SECTION (check one): NE N SE FSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />3/4 of mile North East from Lake George at 8700 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 />6. LAND O RS ❑ <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 />7. 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 />A. CLAIMANT: <br />Name: Adam Sotomayer <br />Address: P.O Box 73 <br />Divide, Co 80814 <br />Telephone: 719-648-1438 <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 L_ EGAL DESCRIPTION <br />Lake View Lode CMC #285386 6th Meridian T1 2S R71 Sec 20 SE 1/4 NE 1/4 <br />