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DIVISION OF RECLAMATION;, MINING AND SAFETY <br />Depar[me >nt of Narural Resourre� <br />13 1 3 S3ie rm an St., Room 215 <br />Denver, Coforado 8020 <br />Phone- (303) 866 -3567 <br />FAX. 1303? B-32-8106 <br />STATE OF COLORADO <br />MAR It, -?0,A <br />pMSION G _ = AV TION <br />1,11NING -',� � ,AFElY <br />MINERAL PROSPECTING DRILL HOLE <br />PERMANENT ABANDONMENT FINAL REPORT <br />COLORADO <br />nit'1�10N Of <br />RECLAMATION <br />MINING <br />SAFETY <br />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 <br />as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record. <br />Prospect Site Name: kit.-AM <br />_ %� "3 Prospect NOI No.: PPX -Za it - 230 -03 ; LATE*, <br />Drill Hole l.D.No. 0- a%% <br />Date Drilled: Y I 1 % 13 _ _ ` Date Permanently Abandoned: 4 t V t 3 <br />OPERATOR: (PROSPECTOR) DRILLER: <br />Name: $LVE MT M. ENE 9_ V T� INC. Name: _L#% �M r CH R%S'S'E'�t SAW Ca n,p�rrN <br />Address: 3 too? COUNT Rp. bS Address: 1.1$ bO EAST ZZHn Me. <br />City: StAm 4k ELy St,: Cc, Zip: B\ to4% city: : A jyt4 RA St.: Lip: $oo t <br />\ <br />Telephone No.: ( 910 ) (01 S - y 3 S 3 Telephone No.: f 3c 3 I I SS - 128 <br />LOCATION: <br />The following information is required for all prospecting drill holes: <br />NG7 1/4 of the N w 1/4 of Section 1 i , Township 3 !`I Range I W <br />(o Prime Meridian, R.%o AtgN ILO _County. <br />If the area has not been surveyed, supply the Longitude ....... —West and l..atitude _�_._._..........__ North, <br />or attach a location map, preferably a USGS Quad, <br />-I " "he following additional information is required for anesian flowing holes: <br />Distances must be rovided with an accurac of _t 200 f`ect (34- 32- 11303)(d)) <br />feetrtorth south from the south north section line <br />feet Dast Dwest from thet west east section line <br />No,rE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator <br />may, with the approval of the Division. submit a Single consolidated final report including the location of all <br />drill holes and a description of abandonment teehnique. In Such a case. complete on.e abandonment final <br />report form and attach a list of drill hole locations. If more space is needed to provide any of-the <br />information for this form, please attach separate <br />. ---------------------------- -.__ -- sheets. <br />.............� _.._� _�_. ._..... ......... _ ....... ..._.._._ .......... ....._.._ <br />.......... _._ " <br />viner Once rt <br />envor • Grand lun+ r_tor . <br />Dura lgo �rrrve- ioxi fn.x:bve &Aine5 <br />