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2 (FORM 2 -Public filing) <br /> RANGE(write number and check direction) R78 East West <br /> QUARTER SECTION(check one): NE NW SE SW <br /> QUARTER/QUARTER SECTION(check one): NE NW SE aSW <br /> GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br /> Approximately 6 miles west of the town of Alma at about 12,500 ft in elevation. <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 /> 11. LAND O.M2kERSIHP <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 H 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: Michael J. Bergmann <br /> Address:11086 Golf View Drive <br /> Galena IL, 61036 <br /> Telephone: 8157771982 <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 /> Sara Rose -CMC-256219- SW1/4, SW1/4, Section 28, T8S, R78W, 6th PM, Park County <br /> Santa Rita- CMC-272307-SW 1 K SW 1/4, Section 28,T8S, R78W, 6th PM, Park County <br /> Sara Ray - CMC-276331 - SW1/4, SW1/4 Section 28 T8S. R78W. 6th PM, Park County <br /> Santa Rosa-CMC-282384-SW1/4, SW1/4, Section 28, T8S, R78W, 6th PM, Park County <br /> Santa Maria-CMC-282386-SW1/4, SW1/4, Section 28, T8S, R78W, 6th PM, Park County <br />