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2 (:Form 2- Public) <br />TOWNSHIP (write number and check direction) T_-46 North--X South - <br />RANGE (write number and check direction) R.__-_17 East ---.----West QUARTER SECTION (check one):__, NE __ NW - X SE -... SW <br />QUARTERIQUARTER SECTION (check one):-----__.__NE --X __.NW --..-_._..SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction. to the nearest town and the approximate elevation): <br />Located pproximat, 11 miles west of Naturita, co south of state Hwy 90 off DD19 <br />NOTE: Supply 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: _-,_,_-_. <br />UTM Zone 12, Nad 83 693947.835503 m E, 4234731.901011 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 BL NI 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 (BLNI) LAND AND U.S. FOREST SERVICE (USFS) <br />LAND <br />The Division and the .BLMIUSFS 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 />--- <br />Telephone: _-- <br />Fax Number: <br />B. SITFUCLAIM.INFOR.NIAT.ION: <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 SERIALNU?4i.BER I.,Iacn I?ES_r._urnl,IO: