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ti <br /> .3 <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Deyarrmpnt C11 Natural Re.sourre: <br /> 1313 Sherman St.,Room 113 <br /> Denver.Colorado 80203 C O L O R A D O <br /> Phone:6033 866-3567 n r ti r o u a F <br /> RECLAMATION <br /> FAX:i303>83)-8 106 MINING <br /> —sc 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. (h,?17� - 15? - <br /> Date Drilled: -42 in z_L&_A9 Date Permanently Abandoned:_�/ 61- <br /> OPERATOR: (PROSPECTOR) DRILLER: ,/ <br /> Name: 7�h�r Gold USA Ltd Name: 1 V Soo n <br /> Address:_14sq Upper Water Street, Suite 1300 Address: 57 8 Ida Road <br /> City:Halifax,Nova Scotia St-Canada Zip: B31 3N2 City: Montrose St.: CO Zip: 81403 <br /> Telephone No.:(902 ) 446-4189 Telephone No.: (9 -7 Y <br /> LOCATION: <br /> The following information is required for all prospecting drill holes: <br /> sW 1 J4 of the _�� 1/4 of Section_ 14 , Township 19 South. Range _)6est <br /> 6th Prime Meridian, Fremont County. <br /> If the area has not been surveyed,supply the Longitude 30_557 $z93Wcst and Latitude 1202734.63North. <br /> or attach a location Wrap,preferably a IISGS Quad. <br /> The following additional information is required for artesian flowing holes: <br /> Distances must be rovided with an accurac of _t200 feet(34-32-113(5.5xd)) <br /> feet orth south from the south north section line <br /> feet ast est from the wesC east section line <br /> N L[-., In the case of closely spaced drill holes having similar geologic and hydrologic characteristics,the Operator <br /> may,writh the approval of the Division.submit a single consolidated final report including the location of all 1 <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 provtde any of the } <br /> information for this form,please attach separate sheets_w��� <br /> Oncc e o, Omer at <br /> Mined Land Rot lernoirun Donanr - Grand Junction - Durango Artj .�.40,1 rn �«,.•,�•:��. <br />