The cache is at the above listed coordinates. You may be wondering, "how is this a puzzle cache then?". The answer is that the above coordinates are not in the standard WGS84 datum. There are many different datums out there, and each one can change your final location for the same given coordinates. Sometimes only by a few feet, other times by over a mile. Learning to check what datum your GPSr is set to is one of the fundamentals that every cacher learns when they get started. And for non-geocaching use when dealing with maps, it is vital to make sure the datum your GPSr is set to matches that of the map you are referencing.
The cache is located on a small hill outside of the town of Organ. One can drive quite close to the hill with a moderate clearance vehicle. Otherwise, a short hike can get you there. Don't forget to enjoy the panoramic views, and happy hunting.