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Page 5 of 5 <br />19. As required by rule 5.6.1(f), attach a map to this report that accurately depicts the NOI boundary, current affected <br />area, location of all previously listed featured, and all acreages listed in items 6 through 12 and item 20. These <br />activities must be identified on a site map of adequate scale to field locate these areas, and may include coordinates in <br />latitude and longitude to at least 5 decimal places, or UTM coordinates with the datum and zone specified. <br />vP ATED MAP ATTACHED: m a 5 �Q5 f yea y S .4 Yeec {l�o <br />20. Rule 5.7 requires submittal of final abandonment reports within 60 days for any drill hole(s) with artesian flows and <br />no later than 12 months for all other completed drill holes. <br />ABANDONMENT REPORTS ATTACHED: or.. N/A <br />Division records indicate the following permittee/landowner contact information. If this information is not current, please <br />type or print current contact information: Rule 5.6.1(a, b). <br />Permittee Contact: <br />Dennis Cordova <br />Permittee Company: <br />Dennis Cordova, Greg Cordova <br />and Charles Valdez <br />Address: <br />' <br />P.O. Box 159 <br />Manassa, CO 81141 <br />Phone Number: <br />(719) 843-5198 <br />Fax Number: <br />(719) 843-5198 <br />Email Address: <br />CF.PR.email <br />Late Y M&r-g wo h60, to <br />Landowner Contact: <br />4L M 51—V Pub/t c. Gana <br />C'n e r <br />ri <br />Landowner Address: <br />N3 1,22 E A'W1 / <br />A'VAk.04r to S/l�Kf <br />Landowner Phone <br />7M 1?3a _ —) v ? <br />Number: <br />rl14- 4W . 611 I <br />Landowner Email <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division approved NOI and reclamation plans. Rule 5.6.1(h). <br />t�-I' 6�-�� <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />