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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Depar[ment o Natural R' -Source' <br />- <br />137 3 Sijenn,4n St., Rocm JF5 <br />flFnvr�:. Colorado 80203 <br />C O L O 1Y A D O <br />o (c• � cti t <br />Phone: k3033 866-3567 <br />RECLAMATIOI <br />FAX: (303) 8 3 2-8106 <br />M I N I N G <br />aL -- <br />SAFETY <br />MINERAL. PROSPECTING DRILL HOLE <br />PERMANENT ABANDONMENT FINAL REPORT <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: Hitch Rack Ranch Prospect N01 No.: p__ _2014 - 016 <br />Drill Hole I.U. No. <br />Date Drilled: Oct 20, 2014 Date Permanently Abandoned: Oct 23, 2014 <br />OPERATOR: (PROSPECTOR) DRILLER: <br />Name: Transit Mix Concrete Co. Name: Precision Sampling <br />Address: --444 E. Costilla <br />City: Colorado Springs St.: CO Zip: 80903 <br />Telephone No.: (-.719) 75-0700 <br />LOCATION: <br />Address: 2165 Janitell Cir. #100 <br />City:Colorado Spring St.: CO Zip: 80125 <br />Telephone No.:( 719 427-2358 <br />The following information is required for all prospecting dril I holes: <br />114 of the _,__ 114 of Section , Township , Range <br />Prime Meridian, County. <br />89806 <br />Ifthearea has not been surveyed, supply the Longitude 104 . est and Latitude38.65644 _ North. <br />or attach a location map, preferably a USES Quad. <br />The following additional information is requirrd for artesian flowing holes - <br />Distances trust be mvided with an acct:rae cf 1,200' rent (34-32-113(5.5)(d-) <br />feet (north south from the sottth north section line <br />feet l_._east est from the[J wes1j cast section line <br />NOTE: in the case of closely spaced drill holes having similar geologic and hydrologic characteristics. the Operator <br />may, with the approval of the Division. submit a Single consolidated 1ruW report including the location of all <br />drill holes anti a description of abandonment technique. In such a case. complete one abandonment final <br />report forth and attach a list of drill holt: locations. If more space is needed to pro�ndc any of the <br />infortnation for this form, please att; ch separate sheets. <br />01tIr e Of Otnce r1 <br />,vmed Land RP.lam..liun UemP! - Grand gunctior • Durango Atctrve ino Inactive Mine, <br />