2015-05-01_REPORT - P2010006

• Permit No: P2010006
• IBM Index Class Name: Report
• Doc Date: 5/1/2015
• Doc Name: Annual Fee Report Map
• From: Earl T. Savage
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

19. As required by rule 5.6.1(0, at1
area; location of all previously
activities must be identified on
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20. Rule 5.7 requires submittal of
no later than 12 months for all
ABANDONMENT REPORT!
Division records indicate the folio,
type or print current contact infor
Pate 4 of E
ich a map to this report that accurately depicts the NOI boundary, current affected
isted featured, and all acreages listed in items 6 through 12 and item 20. These
a site map of adequate scale to field locate these areas, and may include coordinates in
5 decimal places_ or UTM coordinates with the datum and zone specified.
nal abandonment reports within 60 days for any drill hole(s) with artesian flows and
►ther completed drill holes.
ATTACHED: olr.. N/A
ing permittee /landowner contact information. If this information is not current, please
cation: Rule 5.6.1(a, b). I -
Permittee Contact:
Earl T. Savage
Permittee Company:
Earl T S dvage
Address:
1735 N.E.
Portland,
148th Avenue
OR 97230
Landowner Phone
Phone Number:
[phone]
Number:
I
Fax Number:
Landowner Email
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Email Address:
CF.PR.e&ail
Landowner Contact:
L) AC
Landowner Address:
V
Landowner Phone
Number:
I
Landowner Email
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I, the undersigned, hereby state
being conducted in accordance
the information provided in this report is true and accurate, and that site operations are
the Division approved NOI and reclamation plans. Rule 5.6.1(h).
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Signature of Permittee orate Officer Owner, d Documented Designee- Date