2014-03-10_PERMIT FILE - X201323004

• Permit No: X201323004
• IBM Index Class Name: Permit File
• Doc Date: 3/10/2014
• Doc Name: Drill Hole Abandonment Report Submittal
• From: Blue Mountain Energy
• To: DRMS
• Email Name: JDM
• Email Name: DIH
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Depanm?nt of Narural Resourrec ,
13. 3 Sharman St., Room 215
Denver, Coforado 60203
Phone: [phone]
FAX: 1303) 8-i2-8106
STATE OF COLORADO
EC;E'NJED
MAR 10 zV
DNISION OF RECLAMATION
N, NING AND SAFETY
MINERAL PROSPECTING DRILL HOLE
PERMANENT ABANDONMENT FINAL REPORT
COLORADO
Dlt r51 ON CIF
RECLAMATION
MINING
SAFETY
Pursuant to the terms of 34- 32- 113(5.5)(d) and (e) of the Act, all information provided in this report shall be protected
as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record.
Prospect Site Name:
Drill Hole I.D. No. 31011 - 5
Date Drilled: — � 112 11 13 _ Da
OPERATOR: (PROSPECTOR)
Name: 3Lui` MTh►. E NERVY , 1 tA .
Address: 3 tool <Qv to r , RD. b S
City: TLAN4ELy �8
Telephone No.: quo 1 S - 43 S 3
LOCATION:
Prospect NOI No.: P= X_2o�;
to Permanently Abandoned: It. It 3
DRILLER:
Name: _ LA ji,1 E 4HR►Si�c>^► S�'7v �M R nt
Address: _ �l q0_._ rA sT 7-z'4 Av IE
City: iA \J R9yLA St.: Co Zip: Boo 11
Telephone No.: ( 3o I ) -1 S S - 12.81
The following information is required for all prospecting drill holes:
N w 1/4 of the _S G 1/4 of Section __ I lb , Township . I N—, Range Vo t w
b Prime Meridian, /A,0 1=f- A T
-- - -. --
If the area has not been surveyed, supply the Longitude ____,_...._._._......_. West and Latitude - North,
or attach a location Wrap, preferably a t1SGS Quad.
The following additional information is required for artesian flowing boles:
Distances must be: rovided with an aceurac of -1.200 feet (34- 32- 113(5.5)(d))
feet south from the south north section line
feet East est from thet west east section line
Non,,_: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator
may, with the approval of the Division. submit a single consolidated final report including the location of all
drill holes and a description of abandonment technique. In such a case, complete ope abandonment final
report forth and attach a list of drill hole locations. If more space is needed to provide any of the
information fo.7r this form, please attach separate sheets.
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