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04' -C -0 <br />° MINING AND <br />COLORADO DIVISION OF RECLAMATION, ��Y'��� <br />1876 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -35 C <br />013 <br />DIVISION OF RECLAMATION <br />MUW AND SAFE' <br />COAL EXPLORATION DRILL HOLE OR WELL ABANDONMENT REPORT <br />This report is filed in accordance with Rule 4.07.3(3) of the Regulations of the Colorado <br />Mined Land Reclamation Board for Coal Mining, adopted in accordance with the Colorado <br />Surface Coal Mining Act, C.R.S. 34 -33 -101 et seq. This report is to be submitted within 60 <br />days of sealing and plugging of all drill holes approved under the specific drilling program. <br />This report can be used for single or multiple holes and can be modified as needed, provided <br />that the information contained in Rule 4.07.3(3) is supplied. Additional sheets may be <br />attached, if necessary. <br />CDWR Well Permit # 77131, see Append. 2.05.6(3) -4 <br />Notice of Intent No.: MR -7, Sect. 2.05.3(3) pg 1 Date: September 5, 2013 <br />Project Name: Dewatering System, DW12 -1 JCDWR # 77131) <br />Prospector: Western Fuels Colorado, LLC <br />Address: PO BOX 33424 <br />Denver, Co 80233 <br />County: Montrose <br />Name of Drilling Contractor: Himes Drilling Company <br />License of Drill and Rig: Rig #7, Co Lic. #531, US DOT 353031 <br />(Continued on Next Page) <br />