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Page 3 of 3 <br /> _7 Marsh Funnel viscosity of abandonment fluid: 60 sec. <br /> Type of surface plugging used: grout to collar <br /> Depth at which plug set: none feet below ground surface, <br /> Method: <br /> U-79, 2d. Other method used with approval of the Division of Reclamation. Mining and Safety, describe in detail <br /> method and materials used on a separate attached sheet. <br /> B. CONVERSION TO A WATER WELL <br /> State Engineer's Permit No.: (attach copy of permit) <br /> County Where Well is Located: <br /> Water Well Use: li <br /> i <br /> V. METHOD OF RECLAIMING DRILL SITE SURFACE DISTURBANCE: <br /> sumps have been filled in by dozer.,pads to be seeded with ZONE 5 seed mix provided by Allen Sorenson/DRMS <br /> i <br /> The Operator who conducted the prospecting drill operation states that the information set forth <br /> hereupon is true to the best of their knowledge. <br /> ,Dean M. Misantoni (London Mine GM, CPG #11276 <br /> (, ame of O Trtor's Representative) (Title) <br /> tuber 19, 2017 <br /> ReptU�� (Date) <br />