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TOWNSHIP (write number and check direction) T North South <br />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 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 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 />6. LAND OWNERSHIP <br />Private Public Domain (BLM) National Forest (USFS) <br />State State Sovereign Lands Other (please describe): <br />11 prospecting is located on BLM or USFS land the remaining section must be completed, <br />otherwise go to section 1I Maps & Drawings <br />7. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM? LAND AND U.S. FOREST SERVICE (USES) <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 />Address: <br />2 (Form 2- Public) <br />Telephone: <br />Fax Number. <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 <br />SERIAL NUMBER LEGAL DESCRIPTION <br />