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• STATE OF COLOFADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Deparinlent tit var,nal k c lc.,c•. <br /> 1?7 I Shernn n Y-,ROi)il:=1 C U L U R A n U <br /> Jemt r.Loi )ratio 8020 f ' 1 i 0 N 0 t <br /> Phone:;3i,3S 866-;=6' RECLAMATION <br /> FAX:.3Ei -832-8106 M I N I NG <br /> &— <br /> SAFETY <br /> iViINE:RAi,PROSPECTIVE DRILL HOLE <br /> PERMANENT ABANDONMENT FINAL REPORT <br /> Pursuant to the terms of 34-32-113(5.5)(d)and(e)ofthe 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: _L M K Prospect NOI No.: P— <br /> Drill Hole I.D. No. ___—CM,L -3 -.-- _ <br /> Date Drilled: — 47 .r Zt 3 Date Permanently Abandoned: +< � ✓��' 3 <br /> OPERATOR:-,(JP,ROSPECTOR) DRILLER: <br /> ? <br /> Name: '�K�- — � — Name: <br /> — r <br /> Address: -� .: -- } ' 'r'ln'fi�;'C' Address: — <br /> City: Zip:_ City: z?9.11.ey,/� St.:Jul Lip: <br /> Telephone No.:�_.��i �_;j%e/� yyN Telephone No.:�_ 0� ) =Le <br /> LOCATION: <br /> The following information is required for all prospecting drill holes: <br /> L 1,4 of the_j:U 1%4 of Section -, Township Range <br /> ,V IvJ rrl Prime Meridian, <br /> If the area has not been surveyed,supple the Longitude West and Latitude North. <br /> or attach a location map. preferably-a t tiO5 Quad- <br /> The he f0lloWing addino-na; ?ntfirmation is requirt'.t; It>t ar-lestll''i flowing iti lo: <br /> l7i�ztances must be ro:-ided with an accuse', Of 2p0 feet(34-32-113(5.5)(d)) <br /> _ _----------feet 13orth south from theD south Onorth section line <br /> feet Dast Divest from theE]wes[ east section line <br /> NnT1:: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics,the Operator <br /> — mat., Lk-th the approval of the Dig isic)tt. subinit a single consolidated final report incltttilnt-,the location ofall <br /> drill holes and a description of abandonment technique. In such a Case.complete one abandonment final <br /> III hole locations. If more space is needed t,l Provide any of the <br /> rlt)c,rt tt�rlxt and attar h a fist of dr <br /> tr'i:�r,'ttz.�ta) 1�lr:hls fC3rni. 1)icil5i:attucli �t;p�,dcl: reetti. _.___._..._._----- <br /> gll,c F.o — C!tire of <br /> ��n1t,d hold ltr,lemon,,, t;•!,.,•* _ -_,,.,!ui!un t,on Durxiiz, -dK1 In.1CMA!l',4)n£h <br />