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A&7 COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> ,, � r, <br /> 1313 Sherman Sheet. Room 215 <br /> Dt°nvet, C0 80203 <br /> MINERAL EXPLORATION DRILL HOLE <br /> PERMANENT ABANDONMENT FINAL <br /> REPORT <br /> Pursuant to the terms of 34-32.5-113(7)(c) and(d) of the Act and Rule 5.6 of the Mineral Rules and Regulations of <br /> the Colorado Mined Land Reclamation Board for the Extraction of Construction Materials, abandonment reports <br /> shall be submitted to the Division within 60 days of abandonment for any drill hole with artesian flow, or within <br /> 12 months of abandonment for any other drill hole. <br /> Hitch Rack Ranch I P 2017-008 <br /> (EXPLORATION SITE NAME) (EXPLORATION NOI No.) <br /> I. DRILL HOLE: Drill Hole I.D.No. <br /> For this Section 1,please attach completed drill hole logs OR complete the following information: <br /> 203 ft 4 ft 199 ft <br /> (Total Depth) (Depth of Unconsolidated Material) (Depth of Penetration into Bedrock) <br /> Was water encountered: No ❑ Yes Fx I if so, at what depth(s): 15 ft <br /> Was water encountered in either Volcanic or Sedimentary Rock: No Yes ❑ <br /> XX <br /> Date Drilled: July 20, 2017 Date Permanently Abandoned: N/A <br /> II. OPERATOR(Person Conducting Exploration) : DRILLER: <br /> Transit Mix Concrete Co. Authentic Drilling - Scott Nyseth <br /> (Name) (Name) <br /> 444 E. Costilla St. 33555 County Road 37 <br /> (Address) (Address) <br /> Colorado Springs CO Kiowa CO <br /> (City) (State) (City) (State) <br /> 80903 (719) 475- 180117 [720) 465-1450 <br /> (Zip) (Telephone No.) (Zip) (Telephone No.) <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us <br /> John W. Hickentooper, Governor I Robert Randall, Executive Director I Virginia Brannon, Director <br />