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F;~F~q^~~~q DEPARTMENT OF NATURAL RESOURCES <br />~~i!?~ ~O O. Monte Paa[oe. Eaecutrve Director <br />" ' ~ MINED LAND RECLAMATION DIVISION <br />.~ ~~ <br />t~` • DAVID C. SMELTON, Director <br />X876 a <br />R~[naraD Lamm RECEIVED __~ <br />Governor <br />NOV O1 1999 <br />Division of Minerals 8 Geology <br />This report is filed in accordance with Rule 4.07.3(3) of the Regulations of <br />the Colorado Mined Land Reclamation Board for Coal Mining, adopted in <br />accordance with the Colorado Surface Coal Mining Act, C.R.S. 34-33-101 et ~segg. <br />This report is to be submitted within 60 days of sealing and plugging o~aTT- <br />drill holes approved under the specific drilling program. This report can be <br />used for single or multiple holes and can be modified as needed, provided that <br />the information contained in Rule 4.07.3(3) is supplied. Additional sheets <br />may be attached, if necessary. <br />Prospector: S~~ e ~ ~.. Go-= <br />Address: ~ C'~yX 61 O r -„ <br />C-o $ 16 3 9 <br />Notice of Intentc~No.: N~~A" County: Itoek'I'f' <br />Project Name: Io~~S~ Vvt:tie, L-9~~~ ~ b4ha(o~ytrtey~ <br />Date: _ ~- ~ ~" ~ ~ n' <br />Name of Drilling Contractor: N A <br />License of Drill and Rig: <br />(Continued on Next Page) <br />(Rev. 5/83) <br />Doc. No. 3018 <br />f`I A <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />