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
Depanment of Nx rral Resourres
1313 Sharman St., Room 215
Denver, Cohxado 80203
Phone: [phone]
FAX: 003) 8-i2-8106
STATE OF COLORADO
MINERAL PROSPECTING DRILL HOLE
PERMANENT ABANDONMENT FINAL REPORT
COLORADO
D l t r y I O N O F
RECLAMATION
MINING
SAFETY
Pursuant to the terms of 34- 32- 113(5.5)(d) and (e) of the Act, all information provided in this reportshall 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.
Date Drilled:
310 11� -z►
417,4113
OPERATOR: (PROSPECTOR)
Name: Um C MT K, t k t`ttc,L , I me_
Address: - 3 b o -7 (ov►4T,, IZoo.D bS
City: RA N G E' i -- St. :- Co Lip: 81 6496
Telephone No.: ( 4-10 1 6 15 -• 4-AS 3
LOCATION:
Prospect NOI No.: P_X- Zoo - Zso -o+
Date Permanently Abandoned: ZS !13
DRILLER:
Name: LAy N E Ct► QtSTety SEN �� ?R N H
Address: _ 11 Boo "ST Z2"-o' Wv E
City: Av%oz
Telephone No.: (3o3
St.: CO 'Lip: %CQ 11
'75S- 128
The following information is required for all prospecting drill holes:
Sw 1 /4 of the _N W 1!4 of Section 1
-- __ ,Township 3 N ,Range 10_x_ W _
Prime Meridian, K-!'o '3>,. A N C o
--_-----.-,._-County.
If the. area has not been surveyed, supply the Longitude _ ---------- _ West and I..atitude North,
or attach a location neap. preferable a USGS Quad,
-I "he following additional information is required for artesian flowing holes:
NOTE:
Distances tnust be ravided with an accurac of r_2t)Q fact (34-32-113(5.5)(d))
--- ___- __--- - - - - -- feet "orth isouth from the south north section line
feet t:ast west from thet west cast section line
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 cane abandonment final
report fortrt and attach a list of drill hole locations. If more space i5 needed to provide any of the
information fJOT chi; fbrrrt, please attach separate sheets.
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