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Figure 3 STATE CIF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> !]rpartment of Natucat Resource•i, <br /> 1313 5ne•rman St.,Ream:1 S <br /> C O O K A D Oihnvrr,C 80203 otvlsruv OF <br /> Phone:(303) 8M-3%. RCLMATION <br /> FAX:t3031832.8106 MINING <br /> SAIY <br /> rsin alai••lr. <br /> c,-•�vrnr•v <br /> MIV[:RAl_,I'R0 PE CC f[N(xi DRILL <br /> DOLE Hirr..O.Snrnn3u� <br /> Fxln•7i�'r•f�irettvr <br /> PERMANENT ABANDONMEN't_PENA[,REPORT <br /> Rcnaki W.c:.manv <br /> bivi,irm Kira tr,r <br /> ,3atrrrai Resoinr L.rowty <br /> Pursuant to the terms of 34-32-113(5.5)(d)and(e)of the Act,all information provided in this report shall be protected <br /> as confidential information by the Mined Land Reclamation Board anti shall never be a matter of public record. <br /> Prospect Site Name: San—Ma n ldv..e(- P Prospect NUI No.: -__20 0 9_ o z _ <br /> Drill Hole I.D.No. <br /> Date Drilled: 11r-LOL Bate Permanently Abandoned: I z — 8" Z a d <br /> OPERATOR: (PROSPECTOR) ii DRILLER: <br /> Name: R T Sl N - G_= Name: <br /> Address: 112 ��� _'_ t�7..� .. _ Address: Z� _�I_-_.._ ^n . tad---_ <br /> City: t -1 ?er St.: /.ip:�_��_ IO City:m0 rimo St.:_i�D Lip:.B Lk) <br /> Telephone No.:L-7)9 _hg1H 1 O e 0 Telephone No.:{_g�0•.}_Zyy - 3501 <br /> LOCATION: <br /> The following information is required for all prospecting drill holes: <br /> S E__ I/4 of the_NE <br /> /Vk Prinic Meridian. <br /> If the area has not been surveyed,supply the Longitudes_ West and latitude _North, <br /> or attach a location m2rp,preferably a USGS Quad. <br /> 'Me followine.additional information is required for artesian flowing(toles: <br /> Distances must be provided with an accuracy of :::2(0 feel(3d e3?.-1 13(S.S)(elj) ► <br /> ........... feet( )north( )south tiorn the( )south( )north section line <br /> )east( )wcsl front the( )west( )cast section line <br /> N'011E: In the case.of closely spaced drill holes having similar geologic and hydrologic characteristics,the Operator <br /> may,with the approval of the Division,submit a single consolidaWd final report including dw location of all <br /> drill holes and a description of abarulonntcnt technitlue. In such a case,complete<jng abandonment final � <br /> re1wrl (brm cuid attach a list of (trill hole locations. If more spitce is needed to provide: any of the: <br /> information for this loan.please..atiacl: scpnrate sheets. <br /> �)du:c ui office r;i <br /> k1me i(,,nd Hedatnaiirin Uvii-er . GrJnd lurxucm - Llucani;c, Inactive Mule, t <br />