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STATE OF COLORA.DO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Narural Resoume, <br /> 1313 Sherman St_,Rrn)m 113 <br /> Denver,Colorado 80203 C O L O R A n O <br /> Phone:(303) 866-3567 t> t v ti i 0w r) f <br /> RLA£CMATI ON <br /> FAX:003)831-8 106 MINING <br /> �c SAFETY <br /> MINERAL PROSPECTING DRILL HOLE <br /> PERMANENT ABANDONMENT FINAL REPORT <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 and shall never be a matter of public record. <br /> Prospect Site Name: Dawson Gold Project Prospect NOI No.: P- 2013-002 <br /> Drill Hole I.D. No. L <br /> Date Drilled: ? 19, 4-j l� (v_J I A Date Permanently Abandoned: 7 Z2z1-s-- <br /> OPERATOR: (PROSPECTOR) DRILLER: <br /> Name: Ze hvr Gold USA Ltd — Name: <br /> Address:_1959 Upper Water Street,Suite 1300 ' Address: 575 Ida Road <br /> City: Halifax,Nova Scotia St.:C:anadaGip: B313N2 City:Montrose St.:co Zip: 81403 <br /> Telephone No.: (902 ) 446-4189 Telephone No.:(( 0 M ,z <br /> LOCATION: <br /> The following information is required for all prospecting drill holes: <br /> SW 1/4 of the _SE 1/4 of Section_14 , Township 19 South , Range 71 West_ <br /> 6th Prime Meridian, Fremont County. <br /> 11'the area has not been surveyed,supply the Longitude 3956986.31West and Latitude 12o2M 70North. <br /> or attach a location map.preferably a I)SGS Quad. <br /> The following additional information is required for artesian flowing holes: <br /> Distances must bc: rovided with an accuracy r _t200 north <br /> 34-32-1 13(5.5)(d)) <br /> feet orth south from the south section line <br /> feet Rase west from theD west east section line <br /> NQT`C: 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 f <br /> report form and attach a list of drill hole locations. If more space is needed to provide any of the { <br /> information for this form, please attach separate sheets. <br />