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~: <br />N, <br />. $ RFC <br />COLORADO DIVISION OF NIINERALS AND GEOL ED <br />+,~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-# <br />~ Z a 2on~ <br />of M+nerals and GeoIo9Y <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 Mined <br />Land Reclamation Board for Coal Mining, adopted in accordance with the Colorado Surface Coal <br />Mining Act, C.R.S. 34-33-101 et seq. This report is to be submitted within 60 days of sealing and <br />plugging of all drill holes approved under the specific drilling program. This report can be used <br />for single or multiple holes and can be modified as needed, provided that the information <br />contained in Rule 4.07.3(3) is supplied. Additional sheets may be attached, if necessary. <br />Notice of Intent No.: V/`F R 1 D(i'S Date: ~Pr~ ~ zJ z00 z., <br />Project Name: <br />Prospector: <br />Address: <br />l~rrvfc~~~ Co ~laS~-- <br />County: ,~ A-S /~s7rYN~S <br />Name of Drilling Contractor: Fivf~ea ~N~jrlq CNYYIZ-~/ZI`30S't-L14alSyLNZ64) <br />C~s~~a~~/mEnir) -f~ f <br />License of Drill and Rig: ~~. es (~ecn-~ t!y'wl • Svr/pces t! !~1 ztf , r'pw '7~SF t <br />(Continued on Next Page) <br />