I've got 3 of these guys
http://www.sapphiretech.com/presentation/product/?psn=0001&pid=1152&lid=1Mining on and off for 2 years with them.
After bringing them out of a 12 month slumber to mine litecoin, the fan on one of the cards was making a very loud noise and was having difficulty getting up to full RPM, but after 2-3 days it seems to have no problems and is running full RPM like the other cards.
At 85% fan (cgminer's default max for auto-fan), they stay cool enough at 76.5C, 79.0C and 76.0C at their maximum stock voltage overclocks in an open-frame with an ambient temp of about ~15C. The fan's sound like any typical gaming desktop with case fans, power supply and graphics card(s) installed, definitely not out of the ordinary. Has an airy sound with a slight high pitched tone that is normal for a PC. Not really a problem being in the same room, but depending on the severity of how quiet you must be, you might benefit from going with a watercooled system. They are noticeable within a range of about 10-15 feet. Compare that to the reference blower design, and it's like a light gust versus a jet engine.
There are definitely better coolers with large copper heatsinks on them that will require less RPM's but I couldn't let these up at a sale price when I purchased them.
Maximum 24/7 stable OC on stock volts and scrypt hashrates that I've achieved for each individual card are:
915 GPU / Intensity = 19 / 386.7Kh/s
950 GPU / Intensity = 18 / 396.0Kh/s
955 GPU / Intensity = 19 / 400.8Kh/s
edit: Just realized there's an android app for measuring noise levels in dB, no idea how accurate it is, but if you'd like I can measure the value. I'll probably do it out of curiosity eventually, but currently have another rig in the room that is much louder (contains a 7950 with blower), but I can shut it down for a few minutes if you want the value.