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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 ►:I Public Domain (BLM) ❑ National Forest(USFS) <br /> 0 State 0 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 NUV2C LLC,c/o Paul Szilagyi <br /> Address 650 Linden Avenue <br /> City, State,Zip Boulder,CO 80304 <br /> Telephone 303-591-1537 <br /> Fax <br /> Form 2-Public File Page3of14 <br />