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AVCOLORADO S <br /> Division of Reclamation, K16m <br /> : Mining and Safety <br /> De Wrrert cf Na'.lra: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(5.5)(d)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 60 days of abandonment for any drill hole with <br /> artesian flow,or within 12 months of abandonment for any other drill hole. <br /> ram'E: C i f FF I I P 12(-.i is -- L 14 <br /> (PROSPECT SITE NAME) (PROSPECT NOI No.) <br /> 1. DRILL HOLE: Drill Hole I.D.No. VA"') �: 5 <br /> For this Section 1,please attach completed drill hole logs OR complete the following information: <br /> (Total Depth) (Depth of Unconsolidated Material) (Depth of Penetration into Bedrock) <br /> Was water encountered: No 1-1Yes if so,at what depth(s): F , <br /> Was water encountered in either Volcanic or Sedimentary Rock: No n Yes N <br /> d <br /> Date Drilled: I! /E , / Date Permanently Abandoned: t� Ll <br /> II. OPERATOR(PROSPECTOR) : D IR LLER: <br /> 5J ��`. 't�ryl� v �tE..��, �AM� V�i�rvrn 0«4 <br /> (Address) (Address) <br /> kale <br /> (City) (State) (City) (State) <br /> (Zip) (Telephone No.) (Zip) (Telephone No.) <br /> 6, cdt J <br /> pl J'C �r <br />