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COLORADO DIVISION OF MINERALS AND GEOLO~~ <br />' 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 CE/ R /~D <br />7 20os <br />DN~ronOfM~neral~ - . <br />COAL EXPLORATION DRII,L 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-CoalMining,-adopted-inaccordance-with-the.Colorado-Surface Coal <br />Mining Act, C.RS. 3433-101 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.: X - Z o 0 4 - ~ 5 3 -13 Date: I z- z. ~ - 0 4 <br />Project Name: SrovC- tAH~o~+ ExQ~oRAt,oN <br />Prospector: Cr,.,Trtq~ APP~9Lr1<H~A M~NiNy , L1-c- <br />Address: ~. ° ~ 3o X q ~ <br />L.aMq.~„~o~oR~gDo ~~S'z-~4 <br />County: ,_ C~iP1RF\E~D <br />Name of Drilling Contractor: <br />License of Drill and Rig: <br />S~"Ewr~{LT 13RoTttF5Z5 ASL,II~Ny Lp, <br />1Z~y /Jo, 52. <br />(Continued on Next Page) <br />