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DIVISION OF RECLAMATION, MINING AND SAFETY <br />panment of Ndwral RPSource, <br />3 3,. 3 Silennan St., Room .215 <br />Denvcr, Cu3orado 80203 <br />Phone: (303) 866-3567 <br />FAX. 1303) 83!-B:06 <br />STATE OF COLORADO <br />MINERAL PROSPECTING DRILL HOLE <br />PERMANENT ABANDONMENT FINAL REPORT <br />COLORADO <br />01vr ti10N (.it <br />RECLAMATION <br />MINING <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: Hitch Rack Ranch Prospect NOI No.: P- 2014 - 016 <br />Drill Hole LU. No. B-1 <br />Date Drilled: Sept 23, 2014 <br />OPERATOR: (PROSPECTOR) <br />Name: Transit Mix Concrete Co. <br />Date Permanently Abandoned: Sept 29, 2014 <br />Address: - 444 E. Costilla T_ <br />City: Colorado Springs St.: CO zip: 80903 <br />Telephone No.: ( 719 ) 475-0700 <br />LOCATION: <br />DRILLER: <br />Name: Precision Sampling <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 driI I holes: <br />114 of the 1'4 of Section — Township , Range <br />Prime Meridian, County. <br />If the area has not been surveyed, supply the Longitude 104_89967�est and Latitude38.66206 North. <br />or attach a location map, preferably- a USGS Quad. <br />The foffo%Ong additicmal information is required for artesian flowing holes - <br />Distances mustbe .ovided with an acctlrac cf *200 feet (34-32-1130.3)(d)) <br />feet north south from tieInsouth north section line <br />feet east est from the west east 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 single consolidated final report including the location of all <br />drill holes and a description of abandonment technique. fn such a case. complete one abandonment final <br />report form and attach a list of drill hole locations. 1f more space is needed to provide any of the <br />information for this form; please atu-ch separate sheets. <br />014ce of Orrice rt <br />Yined Land RP. Id1n..1iUn Grand iunoior • G.rrango Atrtrvr ano Inactroe Mine, <br />