2013-12-03_REPORT - P2009001

• Permit No: P2009001
• IBM Index Class Name: REPORT
• Doc Date: 12/3/2013
• Doc Name: Annual Fee/Report/Map
• From: Outlook Resources, Inc.
• To: DRMS
• Email Name: KAP
• Media Type: D
• Archive: No

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19. As required by rule 5.6.1(f), attach a map to this report that accurately depicts the NOI boundary, current affected
area, location of all previously listed featured, and all acreages listed in items 6 through 12 and item 20. These
activities must be identified on a site map of adequate scale to field locate these areas, and may include coordinates in
latitude and longitude to at least 5 decimal places, or UTM coordinates with the datum and zone Wecified.
UPDATED MAP ATTACHED: Nn changes to originally approved map, copy attached
20. Rule 5.7 requires submittal of final abandonment reports within 60 days for any drill hole(s) with artesian flows and
no later than 12 months for all other completed drill holes.
ABANDONMENT REPORTS ATTACHED: NIA or. N/A
Division records indicate the following permittee /landowner contact information. If this information is not current, please
type or print current contact information: Rule 5.6.1(a, b).
Permittee Contact:
Mark E. Levin
Permittee Company:
Outlook Resources, Inc.
Address:
P.O. Box 1511
Idaho Springs, CO 80452
Phone Number:
(303) 567 -4174
Fax Number:
(303) 567 -1006
Email Address:
mark.levin @minenv.com
Landowner Contact:
Outlook Resources, Inc
Mark Levin
Landowner Address:
PO Box 1511
Idaho Springs, CO 80452
Landowner Phone
303 -567 -4174
Number:
Landowner Email
mark.levin @minenv.com
I, the undersigned, ereby state that the information provided in this report is true and accurate, and that site operations are
being conducted ' r c with the Division approved NOI and reclamation plans. Rule 5.6.1(h).
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Signature of Permittee, Corporate Officer, Owner, or Documented Nsienee Date