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COLORADO <br /> Division of Reclamation, � <br /> Mining and Safety <br /> Departmerit of Natural 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 /> '1 L-s1 E.g C~L 1 FF P <br /> (PROSPECT SITE NAME) (PROSPECT NOI No.) <br /> I. DRILL HOLE: Drill Hole I.D. No. K l�- — <br /> For this Section I,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 ❑ Yes 'E�] if so,at what depth(s): , <br /> v <br /> Was water encountered in either Volcanic or Sedimentary Rock: No ❑ Yes <br /> Date Drilled: f _ t y Date Permanently Abandoned: <br /> H. OPERATOR(PROSPECTOR) : DRILLER: <br /> (Address) (Address) <br /> (City) (State) (City) (State) <br /> ` ? [50i- Fq 0 40 1Cip <br /> (Zip) (Telephone No.) (Zip) (Telephone No.) <br /> r� . „ O <br /> i;�Y'-_ice;-�2, <br /> T;'r F.. -•r <br /> P, 1, S U <br />