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DIVISION OF RECLAMATION, MINING AND SAFETY <br />tleparnment 0i ha;dal Resources <br />3 3 t 3 Shenndn St., Rnum 2 t S <br />Colorado 80203 <br />('hone: 603) 866-3567 <br />FAY. (3031832-8106 <br />STATE OF COLORADO <br />MINERAL PROSPECTING DRILL HOLE <br />PERMANENT ABANDONMENT FINAL REPORT <br />COLORADO <br />p( v I c 10 sa c, r <br />REC LAMAT 1 ON <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 I.U. No. <br />Date Drilled: Sept 29, 2014 _ Date Permanently Abandoned: Oct 1, 2014 <br />OPERATOR: (PROSPECTOR) <br />Name: Transit Mix Concrete Co. <br />Address:. 444 E. Costilla Y_ <br />City: Colorado Springs St.: CO zip: 80903 <br />Telephone No.: C 71941 75-0700 <br />LOCATION: <br />DRILLER: <br />Name: Precision Sampling <br />Address. 2165 Janitell Cir. #100 <br />city -Colorado SpringsSt,: CO Zip: 80125 <br />Telephone No.: L_719 ) 427-2358 <br />The following information is required for all prospecting dril l holes: <br />114 of the 1/4 of Section , Township , Range _ , <br />Prime Meridian, <br />County. <br />89598 <br />1i the area has not been surveyed, supply the Longitude 104est e_5t and Latitude38.66307 North. <br />or attach a location map, preferably a USGS Quad. <br />The fol'(Ming additional information is required for anesian flowing holes - <br />Distances Must be .ovided with an accuraeof t-200 feet (34-32-113(5.3)(d-1) <br />feetrrorth south from thensouth north section line <br />feet E: cast est from thet west cast section line <br />NOTE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator <br />may, Kath the approval of the Division. submit a Single consolidated futal 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 hose locations. If more space is needed to provide any of the <br />information for this form; please attach separate sheets- <br />OI4 u r n C]mt r rt <br />timed Land Rr. lam..iwn Dorive'! - Grand lunojor • Durango Artr..r aria in.sdrve Mine, <br />