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� I6 '3 <br /> COLORADO <br /> i Division of Reclamation, <br /> Mining and Safety <br /> Department of Naturat Resources <br /> 1313 Sherman Street, Room 215 <br /> Denver,CO 80203 <br /> MINERAL PROSPECTING DRILL HOLE <br /> PERMANENT ABANDONMENT FINAL REPORT <br /> Pursuant to the terms of 34-32-113(5.5xd)and(e)of the Act and Rule 5.7 of the Mineral Rules and Regulations of <br /> the Colorado Mined Land Reclamation Board for Hard Rock, Metal, and Designated Mining Operations, <br /> abandonment reports shall be submitted to the Division within 64 days of abandonment for any drill hole with <br /> artesian flow,or within 12 months of abandonment for any other drill hole. <br /> S(LsjEg- t L fF:F 7771 IP — Ct <br /> (PROSPECT SITE NAME) (PROSPECT NOI No.) <br /> 1. DRILL HOLE: Drill Hole I-D.No. K I jo-3 <br /> For this Section I,please attach completed drill hole logs OR complete the following information: <br /> 0 rif ' I I r.'. C ---] I lw)-s- <br /> (Total Depth) (Depth of Unconsolidated Material) (Depth of Penetration into Bedrock) <br /> Was water encountered: No F—I <br /> Yes 17 if so,at what depth(s): ' <br /> Was water encountered in either Volcanic or Sedimentary Rock: No F <br /> Yes <br /> Date Drilled: t12- z4 l p Date Permanently Abandoned: 1t 27t l ?H- 20 l;p <br /> H. OPERATOR(PROSPECTOR) : DRILLER: <br /> oil <br /> F r <br /> (Address) (Address) <br /> 1 1 ---] I <br /> (City) (State) (City) (State) <br /> 1 13IL403 I F9--4&, "g 4 C 6 1 C L-, <br /> (Zip) (Telephone No.) (Zip) (Telephone No.) <br /> '::1_ 4.U <br />