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RANGE (write number and check direction) R East West <br />QUARTER SECTION (check one): NE NW SE SW <br />QUARTER/QUARTER SECTION (check one NE _ NW SE flSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />6.5 miles at 062 degrees from Maybell CO, elevation 6200' <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 />40° 33' 49.15 "N 107° 58' 35.42 "W <br />Public Domain (BL <br />State Sovereign Lands <br />G. CLAIMANT: <br />Name: OREGON ENERGY LLC <br />Address: 115 La Cueva Court <br />Alto NM 88312 <br />Telephone: 775 532 4755 <br />Fax Number: 775 532 4756 <br />H. SITE /CLAIM INFORMATION: <br />2 (FORM 2 - Public filing) <br />National Forest (USFS) <br />Other (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 />12. 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 NOI in order to minimize administrative <br />processing time and effort. <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 ATTACHMENT B <br />