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RANGE (write number and check direction) R East West <br />QUARTER SECTION (check one):_a_NE NW SE SW <br />QUARTER/QUARTER SECTION (check one). NE NW SE aSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />9 miles southwest of Georgetown, CO Elev. 12,500 feet <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 Degrees 38' 30" N, 105 Degrees 46' 20" W <br />11. LAND O • ► RSHIP n <br />Private Public Domain (BL National Forest (USFS) I 7 <br />State ■ State Sovereign Lands Other (please describe): <br />If prospecting is located on BLM or USFS and 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 />G. CLAIMANT: <br />Stephen E. Hilgers <br />Name: <br />Address: 6499 Plateau Drive <br />Englewood CO 80111 <br />Telephone: 303 - 770 - 0745 <br />Fax Number: 303 - 221 -6148 <br />H. SITE /CLAIM INFORMATION: <br />NAME <br />2 (FORM 2 - Public filing) <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 />SERIAL NUMBER LEGAL DESCRIPTION <br />Santiago 1 ode Claim U. S. Mineral Survey No J2903 <br />Santiago No. 1 Lode Claim, U. S. Mineral Survey No.15558 <br />