Laserfiche WebLink
Page 3 of 3 <br /> Type of surface plugging used: N/A <br /> Depth at which plug set: /A feet below ground surface, <br /> Method: N/A <br /> 2d. Other method used with approval of the Division of Reclamation, Mining and Safety, describe in detail <br /> u <br /> method and materials used on a separate attached shcet. <br /> B. CONVERSION TO A WATER WELL <br /> State Engineer's Permit No.: I N/A (attach copy of permit) <br /> County Where Well is Located: tv/F, <br /> Water Well Use: FN/A <br /> V. METHOD OF RECLAIMING DRILL SITE SURFACE DISTURBANCE: <br /> if present, a ci_imn was hnrkflleri anti than the nari rpnrnripri to annmYirnatP nn i_iral ci_irfarP <br /> before disturbance, reserved topsoll f <br /> then seeded with an approved mix and then <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 /> Tony Adkins Geologist <br /> (Name of Operator's Representative) (Title) <br /> � y [X� WX 16 Jan 2025 <br /> erator's Representative) (Date) <br />