Laserfiche WebLink
2 <br />Complete One (1) of Either Subsections A or B; and Subsection C. <br />A. PERNIANENT ARANDONNIENT (Check the appropriate box and provide information) <br />IZIPlugged dry hole, method of plugging: <br />Backfillillcl IISiIIg drill cuttings or like material froill nearby Willow Creek Mine <br />B. <br />Depth at which concrete plug set: feet Wow ground surface. <br />Scaled Hole: <br />Neat Cement Grout, top to bottom: grout mixture used: <br />Neat Cement Grout, interval grouting: grout mixture used: <br />intervals grouted (feet beneath ground surface, method and materials): <br />LJ Abandonment Fluid Mixture (Such as Sodium Bentonite with Polymer) Brand Name: <br />Marsh Funnel viscosity of abandonment fluid: _ Sec• <br />Type of surface plugging used: <br />Depth at which plug set: ___ feet below ground surface, <br />Method:- <br />CJther method used with approval of the Division of Reclamation, Mining and Safety; describe in <br />detail method and materials used on a separate attached sheet. <br />CONN LINJ N TO A WATER WELL <br />State Engineer's Permit No.: _-- <br />County <br />County Where Well is Located: <br />Water Well Usc:_-- <br />(attach copy of permit) <br />C. NIE'I'HOD OFRE('LAINIING DRII.L SITE l)IS'fiiRBA:YCF: <br />The only reclamation needed for each drill hole was the backfilling of said hole_ . No <br />additional disturbance was created besides drilling. <br />The Operator who conducted the prospecting drill operation states that the information set forth hereupon is true to the <br />best of their knowledge. <br />l3eri Lan eiifeld Consulting Engineer <br />Name of operator's Representative: �, _ Title: <br />Signatme of Operator':, ltcpre,entativc: <br />til: min o -hare Piospocting Forn1B Dl t :lhandonmcnt t ntrt Rpt.doc <br />