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2 <br />TOWNSHIP (write number and check direction} T <br />,~___,_ __ .___` South <br />RANGE (write number and check direction} R r West <br />~~ ._._ <br />QUARTER SECTION (check one): ~NE ~NW _ SE SW <br />QUARTERlQUARTER. SECTCUN(check one): NE __._ NW ,___~__,SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation}: <br />2.7 miles NE__of Idaho prin~~ rnl ^r.~.d~. F1 PSrat' <br />$200 feet. ~n <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed, or as supplemental information to <br />this NUI. GPS measurements will be acceptable for this purpose: <br />G. twAND OWN~;R5HiP <br />Private X Public Domain (BLiN) National Forest {USES) <br />State State Sovereign Lands Other (please describe}: <br />If prospecting is located on BLM or USES lead the remaining section must he completed, <br />otherwise go to section II Maps & Drawings <br />7. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND AND U S FOREST SERVICE (USES) <br />LAND <br />The Division and the BLM/U5F5 have entered into cooperative a~~*reements that eliminate the need Far a prospector to post a <br />financial warranty with each agency and allows them to eoord'snate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />A. C AIMANT• <br />Name: <br />Address: <br />l'elephone: <br />~'ax Number: <br />B. SITEICI.AIM INF`URMATIEI~N: <br />List names, serial numbers and provide }egai description to nearest quarter•quarter section of atl sites or ctaims (atxach <br />additional page, if necessary}. <br />NAlti1E SERIAL NUMBER LEGAL DESCR1PT10N <br />