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2 (Form 2- Public) <br />TpWNSHIP (write number and check direction) T .1/ North // South <br />RA1~'GE (write number and check direction) R 'y2 East West ~ <br />QUARTER SECTION (check one): \=E \~W SE SW <br />QUARTERlQUA,RTERSFCTION (check one): NE NW SE SVV <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): ,~/J ~j <br />/!? ~ 6 .yi~~. .[9pj~ ;~,~ ~ ~.~i,? F~ TKI:~I ~~.¢s~6G-d ~~~i~^yf~~'G `rv.QL' / "(~ <br />NOTE: Suppty longitude and latitude; or UTM coordinates if lands have not been surveyed or as supplemental information to <br />this NOI. GPS measurements will be acceptable for this purpose: /(J !t a ' ~; ' 2. ~ ~Z - ~2_ Ste" <br />6. LAND OWNERSHIP <br />Private Public Domain (BLdwi) National Forest (USFS) !/~ <br />State State Sovereign Lands Other (please descnbe): ' <br />If prospecting is located on, BLM or USFS land the remaining section must be completed, <br />otherwise go to section R Maps & Drawings <br />7. PROSPECFING ON BUREAU OF LAND MANAG~iENT fBLM} LAND AND U.S. FOREST SERVICE (USFSI <br />LAND <br />The Division and the BLMfUSFS have entered into cooperative agreements that eliminate the need for a prospector to post a <br />fittancial vvattanty with each agency and allow them to coordinate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: <br />_^--- <br />Name: /~,eJrCv /"l'..~a.,~c ~~->~,~~''~ <br />Address: ~-G~/~1` /~0.~2~/~rr-~vf/,•e--ar.~ <br />~~u. T C~ ~/CY.~~ <br />Telephone: ~ ~, - ~; ff4_~~cf~rr <br />Fax Number: <br />8. SITE/CLAIM IIriFORMATTONc <br />List names, serial numbers and provide legal description to nearest quarter-quarter section of all sites or claims {attach <br />additional page, if necessary). ' <br />NAME SERIAL NUMBER LEGAL DESCRIPTION <br />•~d.t~.cr ~r~~1' 9--Zf~3 r'M/` 7~a'G ~'~'S /;~,~_~E~~iy u ~ 2 / //~ IL "7~GCJ <br />i <br />