Follow-up... just got the 2nd NV5 on, and WHAT a difference. My VGA coolers were the loudest by far. Now, the loudest is the cpu fan and psu, and neither bother me that much, the db drop was so great. My only beef at this point is that the fan is thicker than 2 slots. It encroaches on the 3rd ajacent slot, and 2, the screws they give you that go on the lugs work out to be so long, they encroach on the slot behind the card too. If the card by the lugs has caps or sinks in just the wrong places, it won't fit. Likewise, putting another full-length card adjacent to the fan side will not fit, but shorter cards (such as lan, modem, many tuners, etc) would fit fine, because the bulk of the cooler remains a true 2-slot design.
So this, I guess, makes it a 2-4 slot cooler!
Thanks for the input all.