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Norm n "WELL CONSTRUCTION AN <br /> STATE REPORT" for afee use only <br /> G1N8�31 <br /> 1114D STATE OF COLORADO,OFFICE OF THE STATE ENGINEER <br /> z. WELL PERNUT NUMER 295711 <br /> z. OWNER NAME(S):ZEPHM GOLD USA LTD <br /> Mailing Address; 1959 UPPER.WATER, STE 1700 <br /> City,St.Zip:HALIFAX NS BIJ 3 12, <br /> Phone! 902 446-4189 <br /> 3` SL rL�,r CA AS ii i FIB - SW 114 SE 1/4,Sec.: 14 Twp.: 19S Range:71W <br /> DISTANCES FROM S)RCIDWS 857 Itfrow SOUTR Sec.line,and 1600 &from EAST Sec.Line OR <br /> (80u*or ncnth) (east or west) <br /> SUBDMSION: LOT: BLOCK: FDANG(UNIT) <br /> STREET ADDRESS AT WELL LOCATION-EASTING.' 474083 NO1ZTHNG: 4249087 l— <br /> 4. GROUND FACE ELEVATION: % DRILLING METHOD AIR PERCUSSM <br /> DATE COMPLETED: 9/23/2014 TOTAL,DEPk'U:_ 140 ft. REM COMPLETED: 140 ft. <br /> 5- GEOLOGIC LOG: c. HOLE DIAM.Qin.) From (ft) To (ft) <br /> Deplit Description of:Material ('r`m -st-cower.wrtwaacod-) 8 3/4 0 40 <br /> 0-37 LOOSE SAND GRAVER &BOUIDPRS 6.00 40 140 <br /> 37-140 GTtAY&RED GRANITE 7. PLAIN CAsm <br /> OD (in) .Kind Wall Size From(ft) To(ft) <br /> 6 5/8__ STEEL .199 +1 40 <br /> 4.5 PVC 214 o � 100 <br /> 4.5 PVC .214 120 140 <br /> PERK CASING Screen Slot Size 3/3211 <br /> 4 1/2 PVC 0.214 100 120 <br /> 8. MTER PACK 9. PACKER PLACMENT <br /> Material: Type!_ <br /> Size: <br /> Interval, Depth <br /> 1U. GROUTING RECORD. <br /> REMARKS:WATER 1051 Material .Amount Density Interval Placement <br /> CEIVVENT 6 SACKS 15.3 9'-39' Poured <br /> Vltsrated <br /> X 1. DISEVECTION,Type CHLORINE Aft.Used:1 GALLON.WATER INS.,18 MRS <br /> 72• L7_L, TT ST DATA Check box if test data is submitted on supplemeatai form <br /> TESTING METHOD:AIR LIFT <br /> Static Level: 65 R. DateTT me Measured:9/23/2014 4:00 ProductloA Rate 0 1/2 gpm. <br /> Pamprlag Level: 140 ft. Date/Time Measured:9123/2014 5.00 Test Len h gt (hrs) 1.00 <br /> Remarks: <br /> x3. I have read the statements made kreln and know the contents there a,and that they are true to my knowledge. <br /> (pursuant to section 244-11)4(13)(a)C,RS.,the making of false statements herein ronetitutcs perjury in the second degree and le <br /> punistiable as a class X misdemeanor. <br /> CONTRACTOR.ARKANS.A,S VALLEY DRILLING PHONE:719-276-6847 Lie.No— 1305 <br /> lKailing Address-.600 CANON MIDGE RD. CANGNCNam <br /> �tX ealtle (please type or print) gnature _ �� <br />