2015-04-02_REPORT - P2009021

• Permit No: P2009021
• IBM Index Class Name: Report
• Doc Date: 4/2/2015
• Doc Name: Annual Report Fee Map ‎(no FW)‎
• From: Cotter Corporation
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

I
Complete One (l)of Either Subsections AorB: and Subsection C.
A. PERNIANENT ABANDONMENT (Check the appropriate box and provide information)
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h� |y|u8gcddrybolc.modmdofplug�nA:
^--'ID3crr cuttings, plug 5' C0DCrOtC below collar
—'---'--------------'
Depth at which concrete plug set: 6 feet below ground surface.
|
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|8euteJUo}o:
1-1 Neat Cement Grout, top to bottom: grout mixture used:
1-1 Neat Cement Grout. interval grouting: grout mixture used:
----------------------'---'-
|nterva|o grouted (feet beneath ground surface, method and nza*nuls):
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| |/\hunJonneo1RuidMixturc(QuohosSwJiunoBonkmitowdhPo\ymer ) Brand Name:
Marsh Funnel viscosity o[abandonment fluid:
Type of surface plugging Used:
______________
Depth at which Plug set: feet below ground surface,
Mothod:___________�
method used with approval nfbo Division u[Qeulumu� Mining ininganJ Safety; describe in
--7detui1mc0hoduodnmtmiu]auocdoououpucatcuuuohcdn6eec
13. CONVERSION, TO AWATER W0K.K.
S(ateBn8beoc's Permit N*: (attach copy ofpermit)
County Where Well ioLocated:
Water Well Use:
1�f� — '
Spread out c-ut1tings, scarify, and re-vegetate area.
(hc Operator who conducted the prospecting dhUoperation states (hat the iu&xrm000u set forth hcrCupm1/,�no,mthe
best of their knowledge.
Nunuof :_`'.^~...'.~-___—__—_''-_--_'
Glen Williams Title:
VP Mining
w. min u*mn.^pc"voxFommm/ Abandonment /maKilt d"