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NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed <br /> or as supplemental information to this NOI. GPS measurements will be acceptable for this <br /> purpose: <br /> Lat: X: <br /> Long: Y: <br /> 2. 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 <br /> completed, otherwise go to section II Maps&Drawings <br /> 3. PROSPECTING ON BUREAU OF LAND MANAGEMENT(BLM)AND U.S.FOREST <br /> SERVICE (USFS) LAND <br /> The Division and the BLM/USFS have entered into cooperative agreements that eliminate <br /> the need for a prospector to post a financial warranty with each agency and allow them to <br /> coordinate the review of the NOI in order to minimize administrative processing time and <br /> effort. <br /> A: CLAIMANT <br /> Name N/A <br /> Address <br /> City, State,Zip <br /> Telephone <br /> Fax <br /> Form 2-Public File Page 3 of 14 <br />