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f~ ~R~I STATE OF COLORADO <br />"' OFFICE OF THE STATE ENGINEER <br />f'~1 S"9 SIB Centennial Blde. l3U Sherman Si. Denier. Colorado SO203 <br />C4~ 13U31 866-3 58 1 <br />WELL ABANDONMENT REPORT <br />ITo Repon Plueging and Sealing Wells) <br />PERMIT NUMBER OF PLUGGEDwELL Hole No. UC-2 <br />IN'DIVIDUAL.'COMPANY RESPONSIBLE FOR PLUGGING <br />NAME: Monteomerv Watson Minine Grouo <br />Mailme Address: P O Box 774018 <br />City. St.. Zip: Steamboat Sorines CO 80477 <br />Phone: 970/879-6260 <br />For Uttice <br />4pproral NO GW59-96-08 <br />ACTUAL WELL LOCATION: COUNTY: Routt <br />PROPERTY ADDRESS: Ha~~den Gulch Mine Routt County Road 53 <br />5N' I d NE I/-1. Sec. 30 Twp 5 ®N. ~ S.. Range 88 ~ E. ® W. P.M. <br />Ft. from ~ N. or ~ S. Line, Ft. from ~ E. or ~ W. Line. <br />We report that an existing well was plugged and sealed for the following reason (s): <br />~ The well was plugged and sealed as required under the conditions of approval of Well Permit No. <br />~ The well was not in use and was plugged and sealed. (('~~ //~~ nn ~nI <br />®Other (please explain) Cad.rr,...«r><+rr,nA uelf , ob+..~r.eb,pf`7M~.,Y..~(e..Y pv Ares-~.+a eC Cefer.y~ <br />Thz ~~ell vas plugged and sealed according to the Water Well Construction and Pump Installation Rules on October 7. 1998. <br />The well was plugged wnh the following materials placed at the indicated intervals: <br />~MUUNT 4ND T\'PE OF MATERIAL METHOD OF PL.4CEh1ENT <br />~ bads - cement/ben[onite ¢rout tremie from p feet to 200 feet. <br />from feet to feet. <br />from feet to feet. <br />from feet to feet <br />from feet to feet <br />from feet to feet <br />WTERVALS OF CASING REMOVED/RIPPED IN FEET from 0 feet to 2 _- -feet <br />Cut off _" pcc and 8" protective casing, 0' ~ 2' <br /> <br />I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. (Pursuant to Section <br />_4-~3-104 (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 />TIM H I M E S. General Manager Date: 10/ 13/98 <br />Himes Drilling Company, Inc. <br />?390 Hwy 6 & 50. Grand Jct CO 81505 ` ~ r 9 ~ jri-L <br />970x242-8893 <br />.INFORMATION - It is the responsibility of [he well owner to have the well properly plugged and sealed. The well construction <br />contractor is responsible far notifying the well owner of the plugging and abandonment requirements. This form may be reproduced <br />by photocopy or word processing means. <br />