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2 (Form 2- Public) <br />TOWNSHIP (write number and check direction) T North ! rl South <br />RANGE (write number and check direction) R East West?_ <br />QUARTER SECTION (check one):_D?NE 1:1 NW SE SW <br />QUARTER/QUARTER SECTION (check one):=NE NW SE nSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />_C2n?er of pro iwt is approx 57mi/e5 N25 °W 4m cW of Cr e&O lo,8ooA' as/ <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or as supplemental information to <br />this NO[. GPS measurements will be acceptable for this purpose: <br />Cenfer of- ieci Q rJTM NAD R3 Zone /3 F 327 73n Al 4 zoo. _64o <br />6. LAND OWNERSHIP <br />Private Public Domain (B National Forest (USFS) <br />State State Sovereign Lands f1ger (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 allow them to coordinate the review of the NO[ in order to minimize administrative <br />processing time and effort <br />A. CLAIMANT: <br />Name: Emerald atnin0 Z Leasing <br />Address: P. D. Box 6 2$ <br />eds. Colorado 811 -so <br />Telephone: - 7/ 9 - (0 5B - tn504, <br />Fax Number: 17Ohe <br />B. SITE/CLAIM INFORMATION: <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 />See aQCI/ied OLiae