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g <br />ST�TE OF ]CoLoro <br />01VISION OF ttK AMATION, MINING AND SAFELY <br />-Q~- <br />tlrpanmrat of NLlllral Resowcn <br />1313 Wman.1k. R4wn1 215 <br />Lk"", color.& 8[1207�1 <br />P6ww.1303) 8"-3%7 <br />RECEIVE® <br />C O L Q It A D O <br />o l v r s a (IN <br />FAX- t30318324106 <br />or <br />RECLAMMININCicw <br />j <br />M,4Y 1 z��B r"''r1 <br />5AE TY <br />DIV1sION OF REC!_AMAPOM <br />11 s <br />MINING AND 5 <br />lett r R11. <br />IRtI A*. 11. <br />r+wMerrx <br />PUMAIMM <br />t <br />ARAtIDOMMENT I INAL REPORT <br />Irian. 0. Shm man <br />intwa-r DMtaur <br />Ie=M kv, cow" <br />0M,W 1 M4 tett <br />Naboaepemo}v rruilea <br />Pursuant io the terms or34-32-113(5.3)(d) and (e) orthe Act. all information provided in this rcpartahall be protected <br />as confidential infomlation by the Mined Lend Reclamation Doard and shall never be a matter of public record. <br />Prospect Site Name. �Olh :Tyy�YPT PProspect NUI No.: F-- ?4 0 i - O Z <br />Drill Hole I.D. No. Q s <br />Detc Drilled: - •- PJ Date Permenently Abandoned! i Z 2 Q 0'? <br />OPERA TOA; (PROSPECTOR) <br />Name• SL hJ_ <br />Address: _112 jE. V_-A__5+r;Z .. <br />City: C&=1*1______ SL:—Co— 7ip_-_k1•_0 <br />Telephone No.: L714 ) - W _ t Q <br />DItILLER: <br />Name:, -0 n naa <br />Address: <br />City_ sl.:_C0 dip; jUzj <br />Telephone No.: f q 7 _) _ W- 3 S'O J <br />The following information is required for 8H prospecting drill holes. - <br />S l/4 of the AIE 1/4 of Suction „_11 .vv ,, Township 4z u . Range <br />A&Prime Meridian._ m:h t _colulty. <br />K Ow ares has not been surve)vd. supply the: Longltuda __ West old Latitude North, <br />or attach a location map, preferably a USGS Quad, — <br />The 110110wine. additional infmmation is, requitmi for artesian tklwing Imle;.s; <br />t nistances musr be provided with an al:euracy of fltlu feet (347.-113(5.5)(d) j <br />....._._ fe.•ct ( ) north ( )south from tltu ( l suuth ( ) north sce:ticlrl Linc <br />) tvcsl fnlm talc ( ) West ( ) Cau secdoll line <br />N„Qin: In lite cm of closely spaced drill holes leaving similar geologic and hydrologic climmlerixties, the Opelutor <br />may. with the approval orthr Division, submit a single cr nsoli&%jed final re:putl including t1w location ural! <br />drill holes and 0 description of abandonment technignc. In su1:h u case:, complcte 1g C abandonment final <br />retort form turd uttac ll a list of drill hole locations. If more slluce is nceded w provide any at the <br />T „ inrnrallation for tills form, pleme Mach scoarote: shcels. <br />141sr11 land 94.11.1malwo filGnr�d <br />I.k+r�7 �umJ luncttan * t3uranlio �nc„r .pw IrcKY1vC ttr.-- <br />