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STATE OF COLOFADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> DCartrtent of tvrsural Resourre4 <br /> IB1 3 Kne•nean St,Room 215 <br /> Denver,Colorado 80203 C b L% R A D 0 <br /> p t V I \ l t,1 N ll f <br /> Phone,?303) ho6•1567 RECLAMATION <br /> FAX:(303)83)-8146 M i N I N G <br /> SAFETY <br /> MINERAL PROSPECTING DRILL.HOLE <br /> PERMANENT ABANDONMENT IFINAL REPORT <br /> Pursuant to the terms of 34-32-113(5.5)(d)and(c)of the Act,all information provided in this report shall be protected <br /> as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record. <br /> Dawso Gold-�rokect <br /> Prospect Site Name: ,y� V (,v l r k Prospect NOI No.:P- zo k3 - 0 o Z <br /> Drill Bole I.U.No. W 6- " (g ` 4-0 <br /> Date Drilled: 1r--y-�-,A. 7 �$� k 18 Date Permanently Abandoned:�4 oc-L 9 <br /> OPERATOR: (PROSPECTOR) DRILLER: <br /> Name: -Z �- �ft- \ V 5 A Name: v 1 12 c�f- <br /> Address: t3c'Q - (q 59_-(J erUcAf-i.- 5+• Address: _.11t Caren �-er (Zd_�_ <br /> City: S.Lip: S3la 2- City `11tree- 1~'ra t'F5 St.: ��7"'Lip:54L <br /> e ur�an x`gt- a <br /> Telephone Na.:� �dL) 44 6 r�-1 O� Telephone No.:( 4-0 b ) 641 <br /> LOCATION: <br /> The following information is required for all prospecting drill holes: <br /> t-1 1/4 of the_5_W 114 of Section i A= Township. J Ok S,Range 31 �,j_, <br /> (40 Prime Meridian, County. <br /> C.•o\c a-do 5A-z>+(r- ?1 2,0 4 B Q(,Z N 3 0 55130, E <br /> If the area has not been surveyed,supply the Longitude West and Latitude _ North. <br /> or attach a location map.preferably a USGS Quad. - <br /> Fhe following additional information is required for artesian flowing holes: <br /> Distances must be provided with an accuracyof .e200 feet(34-32-113(5.5)(d)) <br /> feet north south from thesouth north section line <br /> fret❑east❑~vest from then wes[]east section line <br /> NOTE: 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 consolidated final report including the location of all <br /> drill holes and a description of abandonment technique, in such a case,complete one abandonment final i <br /> report fonn and attach a list of drill hole locations. if more space is needed to provide any of the i <br /> informatioi fi)r this form,please attach separate sheets. <br /> <Jthr c sit otnre at <br /> r <br /> loured Law,Rr+i.Mt 1113n Dorn•r - Grend Iunclion Durango Artw"ana In.xWF Mine, i <br /> I <br />