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OF //~~O~p <br />~c~ -93f/:~ ~'o <br />H <br />y ~~ '4 ~: <br />,~, <br />w 1876 s <br />R~cnar0 D. Lamm <br />Governor <br />DEPARTMENT OF NATURAL RESOURCES <br />D. Moore Paco. Eaecupre D~reclor <br />MINED LAND RECLAMATION DI <br />DAVID C. SMELTON, Dlrcctor <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~alT- <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 <br /> <br />I~~ ~ ~J <br />Address: _~_ ~vK.A= e ~ UJ <br />F~r~~~F.1 c D ~3163~ <br />Notice of Intent No.: ~ ~~ County: (~pL.. <br />Project Name: ~J4`lev Mc~-„~ov (A.)a I ( ~ Inc,,,.~Q~~t,...P ~~:1 s / r~~ 6 <br />Date• fz-S-~l(-; <br />Name of Drilling Contractor <br />License of Dril] and Rig: <br />(Continued on Next Page) <br />(Nev. 5/83) <br />Doc. No. 3078 <br />a23 Centennial Building, 7313 Sherman Street Denver, Colorado 80203 Tel. (303) B66-3567 <br />