Wow... that high? Ok. Thank you very much wuzzuh. I bought the Powercolor 1GB version with the non-reference cooler on it (http://www.newegg.com/Product/Product.aspx?Item=N82E16814131120 ) but it was too loud for my tastes, so I did some surgery and added a ThermalRight cooler. The issue I had was that the heat-pipes on the cooler were touching the copper heatsink on the memory and I was afraid that was going to heat it up too much.
As is though, the card runs cool and near silent.
Idle: GPU 46, Mem 55
Game: GPU: 52-55 , Mem 64-66