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(Form 2 - (Public File) <br />TOWNSHIP (write number and check direction) T 11 <br />North South X <br />RANGE (write number and check direction) R 82 East <br />X <br />QUARTER SECTION (check one): NE NW —X —SE <br />QUARTER /QUARTER SECTION (check one): NE NW X <br />SW <br />West <br />SE <br />SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest <br />town and the approximate elevation): <br />19 miles east to Twin Lakes Colorado 10,800 ft <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not <br />been surveyed or as supplemental information to this NOI. GPS <br />measurements will be acceptable for this purpose: N/A <br />6. LAND OWNERSHIP <br />Private _X_20 acres_ Public Domain (BLM) National Forest (USFS) <br />_X_600 acres_ State State Sovereign Lands Other (please <br />describe): <br />If prospecting is located on BLM or USFS land the remaining section must <br />be completed, otherwise go to Section II, Maps & Drawings <br />7. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND AND U.S. FOREST <br />SERVICE (USFS) LAND <br />The Division and the BLM /USFS have entered into cooperative agreements <br />that eliminate the need for a prospector to post a financial warranty <br />with each agency and allow them to coordinate the review of the NOI in <br />order to minimize administrative processing time and effort. <br />A. CLAIMANT: <br />Name: USDA Forest Service Leadville Ranger District <br />Address: 810 Front Street <br />Leadville, CO 80461 <br />Telephone: 719 - 486 -7417 <br />Fax Number: 719- 486 -4872 <br />