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NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or <br /> as supplemental information to this NOI. GPS measurements will be acceptable for this <br /> purpose: <br /> Lat: 38.31965N X: <br /> Long: 108.79796W Y: <br /> 6. 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 /> 7. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND 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 <br /> to coordinate the review of the NOI in order to minimize administrative processing time <br /> and effort. <br /> A. CLAIMANT: <br /> Name George Hallock <br /> Address 39651 Hwy 92 <br /> City, State, zip Crawford, CO 81415 <br /> (970 ) 921-4040 <br /> Telephone <br /> Fax <br /> Form 2—Public File Page 3 of 14 <br />