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2 (Form 2- Public) <br />TOWNSHIP (write number and check direction) T_ 46 North <br />RANGE (write number and check direction) R._..._._17_ <br />QUARTER SECTION (check one): „^ NI: X NW <br />QUARTERUQUARTER SECTION (check one):___..... _-NE <br />GENERAL DESCRIPTION: (the number of miles and direction to <br />Located approximately 11 miles west of Naturita, <br />x - South__ __ <br />East West ".-X <br />_SE SW <br />NW X SE SW <br />the nearest town and the approximate elevation): <br />CO south of state Hwy 90 off DD19 <br />NO'I'E: Supply longitude and latitude or UIN1 coordinates if lands have not been surveyed or as supplemental information. to <br />this NOI. GPS measurements will be acceptable for this purpose:_ <br />UTM Zone 12, Nad 83 693384.997136 m E, 4235002.891771 m N <br />6. LAND OWNERSHIP <br />:Private _ X Public Domain (BLM) National Forest (USFS) <br />State State Sovereign Lands „_._Other (please describe): _____ <br />If prospecting is located on BUNT or USFS land the remaining section must be completed, <br />otherwise go to section 11 Maps & Drawings <br />7. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND AND U.S. FORES'T' 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 allow them to coordinate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: <br />:Name: <br />Address: <br />Telephone: _. <br />Fax Number: <br />B. SI'T'EWLAUM. TNFORiLiA.711ON: <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