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FIGURE 2 <br /> <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />pF Cp~ <br /> <br />Depanmenl of Nawral Resources O <br />,~~_~ <br />~ <br />131 3 Sherman St.. Room 215 ~~ ; <br />~ ~ . <br />Denver, CO 80203 <br />• <br />Phone: (303) 066-3567 Laic <br />FA%:1303) 832-8106 Roy Rome <br /> Governor <br /> m¢hael B. Long <br /> Orvision Dnecror <br />COAL EXPLORATION DRILL HOLE OR WELL ABANDONMENT REPORT <br />This report is filed in accordance with Rule 4.07.3(3) of the Regulations of the Colorado <br />Mined Land Reclamation Board for Coal Mining, adopted in accordance with the Colorado <br />Surface Coal Mining Act. C.R.S. 34-33-101 et seq. This report is to be submitted within <br />60 days of sealing and plugging of all drill holes approved under the specific drilling <br />program. This report can be used for single or multiple holes and can be modified as <br />needed, provided that the information contained in Rule 4.07.3131 is supplied. Additional <br />sheets may be attached, if necessary. <br />Notice of Intent No.: <br />Project Name: <br />Prospector: <br />Address: <br />Date: <br />County: <br />Name of Drilling Contractor: <br />License of Drill and Rig: <br />/Continued on Next Pagel <br />