Laserfiche WebLink
Page 2 of 3 <br /> I11.LOCATION: <br /> The following information is required for ALL prospecting drill holes: <br /> E 14 of the NW l:'4 of Section f gs Township 7$W Range --- <br /> 6th Colorado --- Primc y'leridian Park ---� County <br /> If the area has not been surveved.. supply the Lon_*itude See table West and Latitude North, <br /> or attach a location map, preferably a USGS Quad. <br /> The following additional information is required for artesian flowing holes: <br /> see table/map 1 Feet North South from the 7 South North section line <br /> J u <br /> F <br /> feet east West from the I Nvest East section line <br /> L_� L_! <br /> NOTE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics,the Operator may, <br /> with the approval of the Division, submit a single consolidated final report including the location of all drill holes and a <br /> description of abandonment technique. In such case, complete one abandonment final report form and attach a list of drill <br /> hole locations. if more space is needed to prov ide anv of the intormation for this form.please attach separate sheets. <br /> IV. Complete Either Subsection Ater B: <br /> PERMANENT ABANDONMENT (Check either box 1 or subsection 2 boxes as appropriate and provide the <br /> requested information) <br /> 1. Plugged dry hole, method of plugging: <br /> Depth at which concrete plug set: none feet below ground surface. <br /> 2. Sealed Hole (when gro Lill dwater is encountered): <br /> LEI2a. Neat Cement Grout, top to bottom: grout mixture used: <br /> I <br /> Intervals grouted(feet beneath ground surface, method and materials): <br /> i <br /> © 2b. Neat Cement Grout, interval grouting: grout mixture used: <br /> L� <br /> Intervals grouted(feet beneath ground surface, method and materials): <br /> I _ <br /> 2c. Abandonment Fluid N11Xture (Such as Sodium Bentonite with Polymer) Brand Name: <br /> I <br /> Abantonite <br />