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aQO� cow <br />Fe <br />N <br />* 1876 <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />COAL EXPLORATION DRILL HOLE OR WELL ABANDONMENT REPORT <br />This report is filed in accordance with Rule 4.07.3(3) of the Regulations of the Colorado <br />Mined Land Reclamation Board for Coal Mining, adopted in accordance with the Colorado <br />Surface Coal Mining Act, C.R.S. 34 -33 -101 et seq. This report is to be submitted within 60 <br />days of sealing and plugging of all drill holes approved under the specific drilling program. <br />This report can be used for single or multiple holes and can be modified as needed, provided <br />that the information contained in Rule 4.07.3(3) is supplied. Additional sheets may be <br />attached, if necessary. <br />Notice of Intent No.:CM IN E MM E 1 CJ U 1-01`{7 Date: 1i - 1 o - .-zo1 4 <br />Project Name: Sow -ro rf I r,-I,b tit Nr-, <br />Prospector: E f4VAGY FUELS COAL, 17nC . <br />Address: • 0 • fox C 4141 <br />I <br />1' OrQ.hC,Q. i <br />County: <br />Name of Drilling Contractor: D LD ?; f gy &com EQ'I cKV 1-s , Gge Nb &0M1zftA <br />License of Drill and Rig: <br />(Continued on Next Page) <br />