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THE INFORMATION ON THIS PAGE DOES NOT NEED TO BE HELD CONFIDENTIAL <br /> 2 <br /> STOWNSHIP(write number and check direction)T 2 North South X <br /> RANGE(write number and check direction) R 98 East West X <br /> QUARTER SECTION(check one): NE NW X SE X SW <br /> QUARTEIL/QUARTER SECTION(check one): X NE X NW X SE X SW (E1/2SWI/4 and W1/2SE1/4) <br /> GENERAL DESCRIPTION:(the number of miles and direction to the nearest town and the approximate elevation): <br /> 27 miles west-northwest of Rio Blanco,Colorado;approximate elevation-6,900 feet above mean sea level <br /> NOTE: Supply longitude and latitude or'UTM coordinates if lands have not been surveyed,or as supplemental information to <br /> this NOL GPS measurements will be acceptable for this purpose:,_____ <br /> 39 DEG,51 MIN,31 SEC NORTH;108 DEG,23 MIN,54 SEC WEST <br /> 6. LAND OWNERSHIP <br /> Private Public Domain(BLM) X 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 completed, <br /> otherwise go to section.II Maps & Drawings <br /> • 7. PROSPECTING ON BUREAU OF LAND MANAGEMENT(BLM)LAND AND U.S.FOREST SERVICE(USFS) <br /> LAND <br /> The Division and the BLM/USFS have entered into cooperative agreements that eliminate the need for a prospector to post a <br /> financial warranty with each agency and.allows them to coordinate the review of the NOI in order V:)minimize administrative <br /> processing time and effort. <br /> A. CLAIMANT: <br /> Name: American Shale Oil,LLC <br /> Address:P.O.Box 1470 <br /> 110 E.3rd Street,Suite 210 <br /> Rifle,CO 81650 <br /> Telephone: (970)62513324 _ �� � <br /> Fax Number: (970)625-8990 <br /> 13, SITE/CLAIM I.NEORMATION: <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 /> Oil Shale RD&D Lease COC 69169 E1/2SW1/4 and W1/2SE1/4 Sec 21,T.2 S.,R.98 W,6th P.M. <br /> I <br /> • s <br /> i <br /> I <br />