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2 (FOK m 1 - All information for URMS use a.-7 ru yfidential, jt7ing) <br />TOWNSHIP („..;te ..umber and check d;.ectiv.,) 1 d Q North 53ntn <br />ANut (W, ite number and cneaK direction K 1 raa, X �y� <br />K <br />14 QUARTER SEC11ON (eneck one):�Nn NW�6N <br />SE A Sw <br />QUARTE1vt1UARTER SECTION (cneaK one): NE w X St:; gSW <br />GhNhRAL DESCK1r i tom (the number of milza anU 23;1 ection to the nearest town and the app.vnim8te eleVa,ion): <br />8 miles southeast of Gu„nison. CO. <br />sec 23 NW SW <br />NOTE: S,.pp1y wrigitude and latitude o-. u 1 M coordinates ;f lands have ..ot Deen au, veyed or as supplemental ;,.formatio„ to <br />tn;s N01. GYS measuremv—,ta w;II be acceptable for th;a pu,Noae: <br />6. LAND O -KNHIP <br />rrivatu X Publ.0 Uouuu„ (13L National 1'v.est (USPS) ❑ <br />Su„e State S-overeign Lands vine (please describe): <br />If prospecting is locates on BLM or USFS land Me remaining se ion must be complatea, <br />otherwise gu to Section II, Maps.-& Drawings <br />7. PROSPECTING uN aUREAU OF LAND MANAGEMENT (6LM) LAND AND U.S. rOKLS-r sxKviClK (USFS) <br />LAN L <br />The Division a ,d the t3LM/USFS have entered i.,to cooperative agreements that el;minat.- the ..=a for a ,,,ospecto, ,o post a <br />fluancial warranty w;tn emn agency and allow the... to coorai„ate the ,eview of the NOI in order to uuuu,.i�c �imu;Strarive <br />p..,..essetg time and effort. <br />A. iLLA�mANT: <br />Na„,c: <br />AMeSS: <br />telephone: <br />Fax N,,...oer: <br />B. SITuCLmm INFORMATION: <br />L;a, names; serial n,..,,bers, ana p,ov;ae legal descript;c;,, to nearest 4uarte.-4uarter aecti0„ of all sires or c:sim, (attach <br />addirimAR page, if necessary). <br />NAMh SEMAL NUMtSZK LEGAL DESCRIPTION <br />