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2 (FORM 2 - Public filing) <br />RANGE (write number and check direction) R East <br />QUARTER SECTION (check one): T1 NE NW SE <br />QUARTER/QUARTER SECTION (check one): NE NW <br />11. LAND O <br />RSHIP <br />Private <br />State <br />G. CLAIMANT: <br />Name: <br />Address: <br />Telephone: <br />Fax Number: <br />H. SITE /CLAIM INFORMATION: <br />West <br />SW <br />SE ELSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />Approximately 17 aerial miles south - southeast of Rangely, Colorado, elev. 7200 to 8400 ft. <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 />See attached Table 1 <br />Public Domain (BL National Forest (USFS) <br />State Sovereign Lands Other (please describe): <br />NAME SERIAL NUMBER LEGAL DESCRIPTION <br />See attached Table 1 <br />for the legal <br />description of each drill <br />pad to be covered <br />under this NOI. <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 />