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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department Of Natural Resourres <br /> 1313 S11erman St.,Room 215 <br /> Denver,Colorado 80203 C O L O R A D O <br /> Phone:(303) 866-3567 DIVISION u F <br /> RECLAMATION <br /> FAX:003)832-6106 M)N I N G <br /> .4 <br /> -- <br /> SAF 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 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. , P— I �O <br /> Date Drilled: .2 .—' 15 Date Permanently Abandoned: <br /> OPERATOR: (PROSPECTOR) DRILLER: <br /> Name: Zey r Gold USA Ltd Name: <br /> Address:_1959 Upper Water Street, Suite 1300 _ Address: 752dda Road <br /> City: Halifax,Nova ScotiaSt.:Canad?Zip: B313N2 City: Montrose St.: CO 'Lip: 18 403 <br /> Telephone No.:f 902 ) 446-4189 Telephone No.: (�I��.) 1 �� L� <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 /> If the area has not been surveyed,supply the Longitude NQ57785.77West and Latitude 1202849.87 North. <br /> or attach a location map.preferably a t ISGS Quad. �~ <br /> i <br /> The following additional information is required for artesian flowing holes: <br /> Distances must5orth <br /> rrvided with an accurac of -t200 feet(34-32-113(5.5)(d)) <br /> feet south from the south north section line <br /> Feet ast est from th wesc 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 locaton 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 sheets. <br />