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 Panning Sluicing Dredging High Banker Did you find, repair or replace? Corner posts Y Claim signage Y Road signage Y Trail maintenance Y Parking Y Remove trash Y Fill holes Y Number of people in your party? Comments:

_____ _____ _____ _____ _____ _____ _____ _____ _____ # Hours _____ _____ _____ _____ # Hours _____ _____ _____ _____ _____ _____ _____ _____ Did you find gold? Y N

N N N N N N N

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