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2 (FORM 2 - Public filing) <br />RANGE (write number and check direction) R4 East West El <br />QUARTER SECTION (check one).=NENW SE SW <br />QUARTERIQUARTER SECTION (check one): NE NW SE D <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />4.05 kilometers N55W to Lake City, Colorado, — project elevation 10,400' <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or as supplemental information to <br />this NOL GPS measurements will be acceptable for this purpose: <br />827073E. 4213168N. UTM NAD 83 - see attached maps <br />11. LAND O RSHIP <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 />12. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND AND U.S. FOREST SERVICE (USFS) <br />LAND <br />The Division and the BLMIUSFS 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 NO[ in order to minimize administrative <br />processing time and effort <br />G. CLAIMANT; <br />Name: LKA Gold Incorporated <br />Address: 3724 47th Ct. N.W. <br />Gig Harbor, WA 98335 <br />Telephone:. 253-514-6661 <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 />RAP_ attarhmpnt — Kinmsshas an ation a an unriatpntAd rlaims owned by I KA (:olri <br />Incorporated. Kinross also owns unpatented claims. <br />