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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />COAL EXPLORATION DRILL HOLE OR WELL ABANDONMENT REPORT <br />This report is filed in accordance with Rule 4.07.3(3) of the Regulations of the Colorado <br />Mined Land Reclamation Board for Coal Mining, adopted in accordance with the Colorado <br />Surface Coal Mining Act, C.R.S. 34-33-101 et seq. This report is to be submitted within 60 <br />days of sealing and plugging of all drill holes approved under the specific drilling program. <br />This report can be used for single or multiple holes and can be modified as needed, provided <br />that the information contained in Rule 4.07.3(3) is supplied. Additional sheets may be <br />attached, if necessary. <br />Notice of Intent No.: <br />Project Name: <br />Prospector. <br />Address: <br />County: <br />X-2017-234-02 <br />Date: 10/1/2018 <br />West Panel State Expansion <br />Williams Fork Land Company <br />P.O. Box 187 <br />Craig, CO <br />Moffat <br />Name of Drilling Contractor: <br />License of Drill and Rig: <br />Refer to Attachment <br />Refer to Attachment <br />(Continued on Next Page) <br />