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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Deparlment of NdTaral Re sourre-s <br />1313 Shorman S!., Roam 215 <br />Denver, Ci) orado 8020 3 <br />Phone: (303) 866 -3567 <br />FAX: 1.30.3) 831 -8106 <br />STATE OF COLOFADO <br />MINERAL PROSPECTING DRILL HOLE <br />PERMANENT ABANDONMENT FINAL REPORT <br />COLORADO <br />n 1 sl 1 5 1 o N 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: <br />Drill Hole I.D. No. 31 011 b -y <br />Date Drilled: 9 1-ti/13 <br />OPERATOR: (PROSPECTOR) <br />F-4T-M E 9- <br />Prospect NOI No.: P =X - 7 3,0 _ 0 3 Ly „ <br />j�CRMir 6 (.- 1 1 -o% 6 <br />Date Permanently Abandoned: 4 24- 13 <br />Name: Ewe JWrN, C -Nrr Z(, %4 IN C. <br />Address: 3bo 7 CovyY R+oAA lO5 <br />City: RA A&, E L4 St.:_ Co Lip : - 8164 -t <br />Telephone No.: (5-IO 1 6 -75 - 4 3S3 <br />LOCATION: <br />DRILLER: <br />Name: Loq NIL C-H (bSj-ea 4tN _ <br />Address: ___1 -1800 — C --F§ST 'Z.2''`!° W -JE <br />City: lANItto2.A St.: Co Zip: $ do 11 <br />Telephone No.: ( 303) -155-.. 1tis 1 <br />The following information is required for all prospecting drill holes: <br />SL- - p Range 1/4 of the SE 1/4 of Section _ I `a , Township 3 ►^I \01 W <br />— .—. —_ , __�._._, <br />(o Prime Meridian, l� o F F IA T County. <br />If the area has not been surveyed, supply the Longitude ---------- West and Latitude <br />------- .........._.._ North, <br />or attach a location, Wrap, preferably a 11SGS Quad, <br />Me following additional information is required for artesian flowing holes: <br />Distances must ff4 South rovided with an aecurac of -t -200 feet (34-32-11-10.5)(d)) <br />feet <br />:)rth Ij from the south nnorth section line <br />4-� <br />feet Last vest from then west east section line <br />NOTE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator <br />may, with the approval of the Division. subn-rit a single consolidated final report including the location of all <br />drill holes and a description of abandonment technique. In such a case. complete cme abandonment final <br />report forth and attach a list of drill hole locations. If more space is needed tics provide any cif the <br />inforntatiof fin this fbrrrt, please attacl: separate sheets. <br />)r(li F U7 <br />Vinod land {�'PC I1.41wn i iem of a 4-rand Junctior. - Duranga Ulnre of <br />Acif— ,thief lnl i tNe min €• <br />