2015-08-26_REPORT - P2014016

• Permit No: P2014016
• IBM Index Class Name: Report
• Doc Date: 8/26/2015
• Doc Name: Annual Fee, Report & Map
• From: Transit Mix Concrete
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
tJepanrnent o tvaarra! Rasourres
131 3 ShemnBn St., Room 2t5
Denvr.:, Coforado 60203
Phone: [phone]
FAY. t3o3f 831-$1-06
STATE OF COLORADO
MINERAL PROSPECTI'�lG DRILL HOLE
PERMANENT ABANDONMENT FINAL REPORT
COLORADO
Div t S 1 0 N CSi
RECLAMATION
MINING
be
SAFETY
Pursuant to the terms of 34-32-113(5.5)(d) and (e) of the Act, all information provided in this report shall be protected
as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record.
Prospect Site Name: H itch Rack Ranch Prospect NOI No.: P- 2014 - 016
Drill Hole I.D. No.
Date Drilled: Oct 7, 2014
OPERATOR: (PROSPECTOR)
Name: Transit Mix Concrete Co.
Address: _ 444 E. Costilla
Date Permanently Abandoned: OCt 17, 2014
City: Colorado Springs St,: CO zip: 80903
Telephone No.: 71941 75-0,700
LOCATION,:
DRILLER:
Name: Precision Sampling
Address, 2165 Janitell Cir. #100
Ciry:Colorado SprigsSt.: CO Zip: 80125
Telephone No.: ( 719 427-2358
The following information is required for all prospecting dril I holes:
1/4 of the _ U4 of Section , Township , Range _ ,
Prime Meridian,
County.
If the area has not been surveyed, supply the Longitudc104.89124West and Latitude38.66108 North.
or attach a location map, preferably a USGS Quad.
The fol+.oaing additional inforrnarion is required for artesian flowing holes -
Distances roustbe .ovided with an acct;rac ci *200 rcet (34-32-113(5.5)(d);
feet nortRest
south from thensouth north section line
feet east from the[] west cast section line
NOTE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator
may, x0th the: approval of the Division. submit a 5`intgle consolidated irtial report including the location of all
drill holes and a description of abandonment technique. In such a case, complete one abandonment final
report form and attach a list of drill hole locations, 1f more space is needed to pro"Ide any of the
information for this form, please att.,.,clt separate sheets -
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