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2 (Form 2- Public) <br />i /?. <br />TOWNSHIP (write number and check direction) T-1 .? .North South <br />RANGE write number and check direction) R East West <br />QUARTER SECTION (check one):._...___ NE..... -NW X SE.__- SW <br />QUARTER./QUARTER SECTION (check ane):--_ NE ------- NW _ SE St1 <br />GENERAL DESCRIPTION: (the number of miles and direction. to the nearest town and the approximate elevation): <br />G V ' <br />............E,...f f/--- ? f f <br />_ <br />5.. 'Gr' _.._* _..'s,P.'.._w F ??__......, .Ls.. ---.....,..j......_Er 6 ..._i... _ a...._._ .-__ ............ <br />NO»TE: 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:--,G, ? <br />6. LAND OWNERSHIP <br />Private --.„--_? Public Domain (BLM) ---X National Forest (USFS) <br />State .,,._State Sovereign Lands ..-._._ -Other (please describe): _ <br />If prospecting is located on BLM or USFS land the remaining section must be completed, <br />otherwise go to section IX 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 />T i' n- -. <br />Name: 0 e> <br />Address: ee 'Y' <br />'T'elephone: 7/ <br />t-- cL °... <br />_.. <br />' _"- <br />Fax Number: i=Y _. ,... ;- .. . :.,,. ,r <br />B. SY1'E/CLAI.M 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 DESCRIPTIOIN <br />t <br />e °?>