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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Deparrment 01 Naruraf Resource, <br /> 1311 Sherman St.,Roon:_;5 <br /> Denver,Caror<ado 8020 3 C O t C7 R A D U <br /> P1 � 11 tlN qF <br /> Phone-(3033 866-3567 RECLAMATION <br /> FAX,1.303)1332-8106 MINING <br /> 5AF ETY <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 beprotected <br /> as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record. <br /> Prospect Site Name: 12awsou Gold Pro ect.. Prospect NOI No.: P- 2013-002 <br /> Drill Hole I.D.No. 'J e -- T 5�, —/ �L� ' <br /> Date Drilled: jr) (e?� ; Date Permanently Abandoned: <br /> OPERATOR: (PROSPECTOR) DRILLER: <br /> Name. Zephyi Gold USA Ltd — Name: - <br /> Address:_1959 Upper Water St.,Suite 1300 _ _ Address: 57 8 Ida Road <br /> City: Halifax,Nova ScotiaSt.:CanadaZip: B3j 3N2 City: Montrose St.: CO Lip: 81403 <br /> Telephone No.:( 902 ) 446-4189 Telephone No.:(C;i f C } (,2? C,1 <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 /> !1`the area has not been surveyed,supply the Longitude N5, _69.S.w1b.West and Latitude 59 North. <br /> or attach a location map,preferably a 1ISGS Quad. <br /> The followring additional information is required for artesian flowing holes: <br /> Distances mustRorth <br /> rovided with an ace ura- of ±200 feet(34-32-113(5.5)(d)) <br /> feetRest <br /> outh from thensouth north section line <br /> feetast from the[]wes[east section line <br /> NOTE_: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics,the Operator I <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 <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 shects. <br /> Otw e of cltnre 01 [ <br /> Vaned Land Ret Lori mien Feiner . Grand Iuncrior, • Durango Vtive dna Inactive Mine, 1 <br />