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2 (FORM 1 - All information for DRIVE use and confidential filing) <br />TOWNSHIP (write number and check direction) T 9 North <br />17 <br />South <br />RANGE (write number and check direction) R 78 East West <br />QUARTER SECTION (check one): al NE NW _SE SW <br />QUARTER/QUARTER SECTION (check one) NE NW 0 SE 0 SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />4.5 miles west of Alma, CO <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 />39° 16'14.55" N <br />106° 08'53.06" W <br />RSHIP <br />Public Domain (BL National Forest (USFS) ri <br />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 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 NOI in order to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: <br />Name: <br />Address: <br />Telephone: <br />Fax Number: <br />B. SITE /CLAIM INFORMATION: <br />NAME SERIAL NUMBER LEGAL DESCRIPTION <br />isi <br />CI <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 />