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2 (Form 2- Public) <br />TOWNSHIP (write number and check direction) T North_._.__-_ South_ <br />RANGE (write number and check direction) R- ---East 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 UTIN4 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 _ Public Domain (91,M) National Forest (USFS) _ <br />State State Sovereign Lands -. Other (please describe): PC (= Seca Y <br />If prospecting is located on Bi.M 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 (BLND 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 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 />Telephone: _ <br />Fax Number: <br />B. SYIV AVY1I;NFORMATI.ON: <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