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Fri R.~l STATE OF COLOR.4D0 <br />~'~ OFFICE OF THE STATE ENGINEER <br />Uw S-9 818 Ctntenmal Bldg.. 1313 Sherman St.. Denser. CoWrado 90'-03 <br />I'_,9~ U03) A66-3581 <br />WELL ABANDONMENT REPORT <br />ITo Report Plugging and Seating Walls) <br />PERMIT NUMBER OF PLUGGED WELL Hole No. LC-2 <br />INDIVIDU.4LrCOMP.4NY RESPONSIBLE FOR PLUGGING <br />NAME: Mont,omerv Watson Mining Grouo <br />~Mailina Address: P O Box 774018 <br />Cin. Sc. Zip: Steamboat Sonnes CO 80477 <br />Pholte: 970/879-6260 <br />For (47ict l st Unlc <br />Approval No. GW59-96-08 <br /> .ACTUAL WELL LOCATION: COUNTY: Routt <br /> PROPERTY ADDRESS: Havden Gulch Mine. Routt Countv Road 53 <br /> S~'r~ I/4 NE I/4, Sec. 30 Twp. 5 ®N. ^ S., Range 88 ^ E. ® W. P.M. <br /> Distances from Section Lines Ft. from ^ N. or ~ S. Line, Ft. from ^ E. or ~ W. Line. <br /> <br /> 14'z report that an existing well was plugged and sealed for the following reason (s): <br /> ^ The well was plugged and sealed as required under [he conditions of approval of Well Petmit No. <br /> ^ The will was not in use and was plugged and sealed. <br /> A //~~ nn <br />® Other (please explain) C~,.e ,,,.~ ,(ar,. .+e.ll , awly..D Iv .y .+y s..I~,Y ~„+,j,.+ o~ 41+r++1 D.vrr.... sl <br /> r+V+ .~ O <br /> The well ass plugged and sealed according to the Water Well Construction and Pump Installation Rules on October 7. 1998. <br />I ne weu was pmgeeo wlm me rouowmg matenats places at me matcatea mtervats: <br />AAIOUN f AND TFPE OF ~MATERL4L <br />.i bags - ceinen Ubentonite grout <br />METHOD OF PLACEMENT <br />tremie <br />INTERVALS OF CASING REMOVED/RIPPED IN FEET <br />Cut off ~?" pvc and d" protective casing. <br />from 0 feet to ?.t0 feel. <br />from feet to feet. <br />from feet to feet. <br />from (get to feet. <br />lrom feet to feet. <br />from feet to feet. <br />from 0 feet to 2 feet. <br />I have rzad the statements made herein and know the contents [hereof, and that they are ttve to my knowledge. (Pursuant to Section <br />?4-4-104 (13)(a) C.R.S.. the making of false statements herein constitutes perjury in the second degree and is punishable as a class I <br />misdemeanor. ) <br />TI Nl H I M ES, General Manager Date: 10/ 13/98 <br />Himes Drilling Company, Inc. <br />?390 Hay 6 & 50. Grand Jct CO 81505 ..- .2 ~'~ t h'`~~' <br />970124?-8893 <br />•I~IFORMATION - It is the responsibility of the well owner to have the well properly plugged and sealed. The well construction <br />contractor is responsible for notifying the well owner of the plugging and abandonment requirements. This form may be reproduced <br />by photocopy or word processing means. <br />