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3724 47th Street Ct NW <br />Street Street <br />P.O. Box P.O. Box <br />Gig Harbor, WA 98335 <br />City, State, Zip City, State, Zip <br />f53 1514-6661 1 <br />Telephone Telephone <br />L <br />Fax Fax <br />4. APPLICATION FEE: $86. (NOIs require an $86 fee which must accompany this notice <br />or it cannot be processed by the Division). See attached copy of check <br />5. <br />LOCATION INFORMATION: <br />County: Hinsdale <br />Principal Meridian (check one): <br />11 �] 6th (Colorado) ✓ 10th Ute <br />(New Mexico) IUl <br />Section (write number) 11 TOWNSHIP 43 N So <br />RANGE E T W <br />[0 <br />QUARTER SECTION (check one): <br />NE F-� NW Fol SE F� SW <br />QUARTER/QUARTER SECTION (check one): <br />NE ❑ NW Q SE F-1 SW ❑ <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the <br />approximate elevation): <br />4.05 Kilometers N55W to Lake City, CO - Project elevation 10,400' <br />Form 2 - Public File Page 2 of 14 <br />