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(Feb. 1481) <br />Form A pproved <br />Iludget Bureau No. 42-110358 <br />(SUBMIT IN TRIPLICATE) Land OMr.------- <br />UNITED STATES :••'�'i�---------- <br />DEPARTMENT OF THE INTERIOR U -4s ..--------- -- ..-_-.---------- <br />GEOLOGICAL SURVEY <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />NOTICE OF INTENTION TO DRILL--------------„_- ------------ ­ --_. <br />SUBSEQUENT REPORT OF WATER SH UT -OFF <br />NOTICE OF INTENTION TO CHANGE PLAN S_-._-.._. ...... e.._... -.---- <br />SUBSEQUENT REPORT OF SHOOTING OR ACIAIIING <br />NOTICE OF INTENTION TO TEST WATER SHUT-OFF... ----------- ____ <br />. .. .. ...... <br />SUBSEQUENT REPORT OF ALTERING CASING.__. <br />... <br />NOTICE OF INTENTION TO RE -DRILL OR REPAIR WELL--------- ----- <br />...... .....--_ _ _- <br />SUBSEQUENT REPORT OF RE -DRILLING OR REPAIR <br />NOTICE OF INTENTION TO SIiOOT OR ACIQIIE------------------ ------ <br />_ <br />SUBSEQUENT REPORT OF ABANDONMENT <br />NOTICE OF INTENTION TO PULL OR ALTER CASING_-.._-..___,.. --- <br />------ <br />SUPPLEMENTARY WELL HiSTORY-..__• <br />NOTICE OF INTENTION TO ABANDON WELL .....................---•- <br />............ . .............. <br />..__•. ..._ <br />ONOICATZ ANOVE MV CHECK MARK NATURE <br />---------- ------------•-----_..._---------------^ _ <br />OF REPORT. NOTICti. OR OTHER QAYA] <br />..............February $ r I97$ <br />Well No- -------------- is located 79©. ft. from ine and -2430--- ft. fromeine of sec.4----- <br />NE114 24 l3S 922WWT 6th P.M. <br />- ------ - ------ <br />Bee. Nn.) {'Pwp.] cR+alle? (Maridlap) <br />...................... <br />(Yield) Colorado <br />- to --- -•------------------ <br />(Couaty or Subdivision) <br />[8tata ur 1'arr71<rrpj'---._-_----- <br />The elevation of the derrick floor above sea level is _ 7.9.-1.7___ ft. <br />DETAILS OF WORK <br />('Jtats names of and expected depths to ob)ecthe sandal show sizes. weiahts.and irnEtha O1 proposed easlna.i Indicate mudding lob., cement. <br />Ing points. and all other importent proposed work] <br />Drill hole was plugged with 6,000 lbs. of cement from the total depth <br />of 1,200' to approximately 5251, which is 2851 above the uppermost <br />coal seam. A cement plug was placed at the surface and marked wi h <br />an iron I]ar. <br />vfaiir{,D i"i ROVED <br />C ; iViN' SUERVISOR <br />VNIAR <br />JLar'dor"Ont apprOved fOr seta ,urface only. <br />1 understand that thds PISA at work must recalva approval in arming by the rsologica) Vurvey belore OPerationa may be commenced. <br />ComparlY ---- COLORADO--WESTMORELAND,-INC_•---- ---------- <br />Address ._Box _Z ....... ....... <br />......•-- <br />D. H. EMLINC COMPANY <br />-------- Eaania,--Colorada------------------ --------- -- By E- Russell..----.---- <br />-----------------------------------------------------—----------------- Title-Xice..Presidenx <br />i-Yn a9 3.757 <br />