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DIVISION OF RECLAMATION, MINING AND SAFETY <br />tJepanrnent o tvaarra! Rasourres <br />131 3 ShemnBn St., Room 2t5 <br />Denvr.:, Coforado 60203 <br />Phone: (303) 866-3567 <br />FAY. t3o3f 831-$1-06 <br />STATE OF COLORADO <br />MINERAL PROSPECTI'�lG DRILL HOLE <br />PERMANENT ABANDONMENT FINAL REPORT <br />COLORADO <br />Div t S 1 0 N CSi <br />RECLAMATION <br />MINING <br />be <br />SAFETY <br />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 <br />as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record. <br />Prospect Site Name: H itch Rack Ranch Prospect NOI No.: P- 2014 - 016 <br />Drill Hole I.D. No. <br />Date Drilled: Oct 7, 2014 <br />OPERATOR: (PROSPECTOR) <br />Name: Transit Mix Concrete Co. <br />Address: _ 444 E. Costilla <br />Date Permanently Abandoned: OCt 17, 2014 <br />City: Colorado Springs St,: CO zip: 80903 <br />Telephone No.: 71941 75-0,700 <br />LOCATION,: <br />DRILLER: <br />Name: Precision Sampling <br />Address, 2165 Janitell Cir. #100 <br />Ciry:Colorado SprigsSt.: CO Zip: 80125 <br />Telephone No.: ( 719 427-2358 <br />The following information is required for all prospecting dril I holes: <br />1/4 of the _ U4 of Section , Township , Range _ , <br />Prime Meridian, <br />County. <br />If the area has not been surveyed, supply the Longitudc104.89124West and Latitude38.66108 North. <br />or attach a location map, preferably a USGS Quad. <br />The fol+.oaing additional inforrnarion is required for artesian flowing holes - <br />Distances roustbe .ovided with an acct;rac ci *200 rcet (34-32-113(5.5)(d); <br />feet nortRest <br />south from thensouth north section line <br />feet east from the[] west cast section line <br />NOTE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator <br />may, x0th the: approval of the Division. submit a 5`intgle consolidated irtial report including the location of all <br />drill holes and a description of abandonment technique. In such a case, complete one abandonment final <br />report form and attach a list of drill hole locations, 1f more space is needed to pro"Ide any of the <br />information for this form, please att.,.,clt separate sheets - <br />c Olhc e of orrtre nt <br />Ytned Land RPt lern..nun oernP! • Grana junojor- • Durango Arttvr anu Inactive Mina, <br />/ter` <br />