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2 (Form 2- Public) <br />TOWNSHIP (write number and check direction) T 43 North IJ South <br />RANGE (write number and check direction) R East West <br />QUARTER SECTION (check one):_aNE NW SE SW <br />QUARTER/QUARTER SECTION (check one):=NE NW SE 1 LSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />Center of pra _prox 6 miles &rn c%hyof Cr,eede (N.3o°W) Q Zoo rtasl . <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 />Cenfer of Qn2gcf ig UTM NAD 83 Zone /3 E 327. 73o N 4, 200; 540 <br />6. LAND OWNERSHIP <br />Private Public Domain (Bn P.e, National Forest (USES) <br />State State Sovereign Lands (please describe): <br />If prospecting is located on BLM or USFS land the remaining section must be completed, <br />otherwise go to section H 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 A inin0 Z Leasing <br />Address:-PO. 13OX to 28 <br />Creech, Colorado 8/I3o <br />Telephone: 71 9 - 6 58 - O 50(o <br />Fax Number: )0172 <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 0-dached gage <br />V .1