7/29/2019 NUPA Claim Worksheet Jan 2013

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NUPA Claim Worksheet

One requirement for maintaining placer mining claims is to determine how much work is

performed at each claim each year. Please complete this form after you have visited a claim

and help us with our records. Please keep gas receipts and submit with this form.

Member Name___________________________ Date/s of visit______________

Claim (check only one)

Kaymack King _____

Kaymack Queen _____

Wishful 1 _____

Wishful 2 _____

Wishful 3 _____NUPA 5 _____

Peekaboo _____

NUPA 1 _____

NUPA 2 _____

Activity performed # Hours

Panning _____

Sluicing _____

Dredging _____

High Banker _____

Did you find, repair or replace? # Hours

Corner posts Y N _____

Claim signage Y N _____

Road signage Y N _____

Trail maintenance Y N _____

Parking Y N _____

Remove trash Y N _____

Fill holes Y N _____

Number of people in your party? _____ Did you find gold? Y N

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