Kind of what I figured. It's really not that bad so I don't want to spend much of anything on it. If it gets worse I might RMA it but for now I'll probably just leave it alone. Might grab a can of compressed air and blast it out to see if somethings hitting it.
Pushing on the center of the fan very lightly when at 100 percent load, and thus slowing it down, kills the noise. Interestingly it doesn't seem to be just one fan as slowing down either one gets rid of it. Would that mean anything? Also the card goes from being silent to a noticeable sound right around 75 percent, it's not just an ever increasing sound the faster it goes.