Laserfiche WebLink
Page 3 of 3 <br /> Marsh Funnel viscosity of abandonment fluid F— sec. <br /> Type of surface plugging used: <br /> Depth at which plug set feet below ground surface, <br /> Method: <br /> ® 2d.Other method used with approval of the Division of Reclamation,Mining and Safety,describe in detail <br /> method and materials used on a separate attached sheet. <br /> B. CONVERSION TO A WATER WELL <br /> State Engineces Permit No.: I I (attach copy of permit) <br /> County Where Well is Located <br /> Water Well Use: <br /> V. .METHOD OF RECLAIlAING DRILL SITE SURFACE DISTURBANCE: <br /> ouited Og was used. No pits or pads were <br /> ed d. Any Tracks on non existing roads were graded <br /> and seeded with approved seed mix <br /> The Operator who conducted the prospecting drill operation states that the information set forth <br /> hereupon is true to the best of their knowledge. <br /> Harald Hoegberg consdting Geologist/Manager <br /> (Name o or`s Rep ve) (Title) <br /> _ 9C!,� Z, <br /> (Signature of Operato epres tative) L- 0)ate) <br />