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(Fab. taxi) <br />(SUBMIT IN TRIPLICATE) <br />UNITED STATES <br />DEPARTMENT OF THE INTERIOR <br />GEOLOGICAL SURVEY <br />Form Approved <br />Budget Bureau No. 42-RO358 <br />Land Office <br />Unit------------ -------------- ....... <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />NOTICE OF INTENTION TO DRILL- ----------- --------------------- <br />----- <br />SUBSEQUENT REPORT OF WATER SHUT-OFF ---------- .--------_--- <br />NOTICE OF INTENTION TO CHANGE PLANS ------_-------------- <br />----.. <br />SUBSEQUENT REPORT OF SHOOTING OR WDIIING................ <br />..... <br />NOTICE OF INTENTION TO TtST WATER SHUT-OFF ... _--------- <br />-- <br />SUBSEQUENT REPORT OF ALTERING CASING . ._ .__- ........... <br />..... <br />NOTICE OF INTENTION TO RE -DRILL OR REPAIR WELL ------ _-_ <br />..... <br />5UESEOUEHT REPORT OF RE -DRILLING OR REPAIR..._ ___---..... <br />..... <br />NOTICE OF INTENTION TO SHOOT OR ALIDIIE------- __-------- _ <br />------ <br />SUBSEQUENT REPORT OF ABANDONMENT. ......... _............... <br />x <br />NOTICE OF INTENTION TO PULL OR ALTER CASING .............. <br />..... <br />SUPPLEMENTARY WELL HISTORY ....... <br />----- <br />NOTICE OF INTENTION To ABANDON WELL_.__-_--------------- <br />___ <br />...... <br />UNDICAT; ABOVE RV CHECK MARK NATURE OF REFORT. NOTICIL OR OTHER DATA] <br />•--------------------FP_bx!4aKy..B__--------- ..............._, Ra <br />Well No._.2-a .......... is looted .194Q__. ft. `ramine and 155Q-... ft. frornu�e of sec. <br />............ NW -114..•••-••--13•----- 3 ••-. 92W 6th F -M. <br />01 Bac. ane ®re. No.) (Twp.) fRwiel ------ ------- <br />------------_ __--------•----------_---_--------------- -- -- ------- ------- COIRrado.,-------- -------- <br />(Field) (County or Bubdivisloa) State of Territory) <br />The elevation of the derrick floor above sea level is 7.646. _ _ ft. <br />DETAILS OF WORK <br />(State names of and aspected depths to objective sander short sizes. walghte.and Iongthe of pro(wsad codneal indicate mudding lobe, cement. <br />Ing points. and all other important propwind work] <br />Drill hole was plugged with 6,000 lbs. of cement from the total depth <br />of 1080' to approximately 440', which is 31.5' above the uppermost coal seam. <br />Set packer at 2001. Ran 160' of 6" casing with bottom 40' slot perforated. <br />To be tested as water well, w <br />S.1D <br />ilbandonment approved tot sub -sur ace ar►iyr ,:r- qt <br />I understa"A that this plan etwork roust receive approval In rritlns by the Geological Surrey 'Fare operations may 6a common" <br />Company -..C4iLOFAaO-iML'r+3•lMkiRIAND,--.I.Nr—,----------------- --- <br />Address _._Box E ---- D, H. EMLING COMPANY <br />- Fannia:-- Colorado BY 8.- �• Russell. ------------- _ --- <br />Title -_ Vice- President <br />CPO ®g 3.752 <br />