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RANGE (write number and check direction) R East West <br />QUARTER SECTION (check one): 11 NE NW 11 SE ✓ SW <br />QUARTER/QUARTER SECTION (check one): NE u NW SE aSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />Approximately 4.2 miles southwest of Callon City, CO Elevation 6540 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 />38o23'26.18N, 105o17'48.06 "S <br />11. LAND OM LERSHIP <br />State State Sovereign Lands ■ Other (please describe): <br />Private Public Domain (BL <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 />G. CLAIMANT: <br />Name: <br />Jascan Resources USA <br />Address: 1959 Upper Water Street, Ste 1700 <br />Halifax, Nova Scotia, Canada <br />B3J 3N2 <br />Telephone: 9024464189 <br />Fax Number: 866 -941 -4715 <br />H. SITE /CLAIM INFORMATION: <br />2 (FORM 2 - Public filing) <br />National Forest (USFS) El <br />El <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 />SAM R CMC240R SWSF SAC: 14, T19S, R21 W <br />SAM 10 CMC2410 SWSW Sec 14, T19S, R21 W <br />SAM 11 CMC2411 SWSW Sec 14 T19S R21 W <br />