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2 <br />TOWNSHIP (write number and check direction) T' North South <br />RANGE (write number and check direction) R East West <br />QUARTER SECTION (check one):___..._NE __NW --SE SW <br />QUARTER/QUARTER SECTION(check one):____.._ NE ..__.._.__.._..._ NW _ _ SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />NOTE: Supply longitude and latitude or 11TM coordinates if lands have not been surveyed, or as supplemental information to <br />this NOI. GPS measurements will be acceptable for this purpose:-__________ _ <br />6. LAND OWNERSHIP <br />Private X Public Domain (BLM) X National Forest (USFS) X <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 to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: <br />Name: Kay Blecha <br />Address: 6311 Washington St. Unit G <br />P.O. Box 16851 <br />Denver, Colorado 80216 <br />Telephone: 303-286-8688 <br />Fax Number: 303-286-8688 <br />B. SITE/CLAIM INFORMATION: <br />List names, serial numbers and provide fecal description to nearest quarter-quarter section of all sites or claims (attach <br />additional page, if necessary). r <br />NAME SERIAL NUMBER LEGAL, DESCRIPTION