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2015-04-14_PERMIT FILE - P2015008
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2015-04-14_PERMIT FILE - P2015008
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Last modified
8/24/2016 5:59:17 PM
Creation date
4/15/2015 8:48:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2015008
IBM Index Class Name
PERMIT FILE
Doc Date
4/14/2015
Doc Name
NOI
From
George Qvist
To
DRMS
Email Name
TC1
TAK
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 ✓ <br />QUARTER SECTION (check one): NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />Ym; 4/� e,,4 X. el'e 6ecae Co S.,i'S -0,5' he-A ,z S 4zO '- g/ 8-�O . <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: S-e e a 641 cA -,a 0!n65'6 � <br />6. LAND OWNERSHIP <br />Private Public Domain (BLM) 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: /—, l- <br />Address: %,'/ Cree% <br />1 -�l<,e lreo�gP� Co 9082'7 <br />Telephone: 7 / 9 ) 7 ,eK 19 — 3 bog <br />Fax Number: <br />B. SITE /CLAINIINFORMATION: <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 />NAIVE <br />SERIAL NUMBER <br />LEGAL DESCRIPTION <br />Poor Po,-1 <br />9- YZVf3 <br />5 1)Tli S R'lw <br />sw% r'�Wll G91 <br />- 2-gfO6 <br />51p /11 7iz S 9 7t <br />S0VyIJF- 0 AJN�9 sl/ <br />Slr6 //I TI ZS Rr7IW <br />NE'1�( <br />S;1der M;cror(lnc <br />ZY ZO 6 5 <br />510 �' -1 Z, 5 R r71LJ <br />N E. `'l N F— S Id <br />
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