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Ft~u>t STATE OF COLORADO <br />`I' OFFICE OF THE STATE ENGINEER <br />+'+t S"4 818 Centennial Blde.. 1317 Sherman St.. Denier. Colorado 80203 <br />L'.qc t303186h-3181 <br />WELL ABANDONMENT REPORT <br />tTo Report Plugging and Szahng Wells) <br />PERMIT NUMBER OF PLUGGED w'ELL Hole No. UC-3 <br />NAME: Montoomerv Watson Mining Group <br />Mailing Address: P O Box 774018 <br />City, St.. Zip: Steamboat Springs CO 80477 <br />Phone: 9701879-6260 <br />For Utlice Cu Unl:. <br />Approval No. GW59-96-OB <br />ACTUAL WELL LOCATION: COUNTY: Routt <br />PROPERTY' ADDRESS: Havden Gulch Mine Routt Countv Road 53 <br />SE 1~4 SE 1;4, Sec. 30 Twp. 5 ®N. ^ S., Range 88 ^ E. ® W <br />Distanczs from Sec[ion Lines <br />Ft. from ^ N. or ^ S. Line, <br />P.M. <br />Ft. from ^ E. or ^ W. Line. <br />We report that an existing well was plugged and sealed for the following reason (s): <br />^ The wall was plugged and sealed as required under [he conditions of approval of Well Permit No. <br />^ The well was not in use and was plugged and sealed. <br />~© Other (please explain) Ce.l.,,,,...w„~„~.../!, .l.,,y./, P~u~ay,..Ysa.~.i/par yrialr•,a o! C.Io..Je ~•~,•••., <br />of M~wv. a u eftN <br />Thz well +vas plugged and staled according to the Water Well Construction and Pump Installation Rules on October 5. 1998. <br />was plu,~ed with the tollowm~ materials placed a[ <br />~~ICtL'NT AND TYPE OF MATERIAL METHOD OF PLACEMENT <br />.r bags ~ eemenUben[onite grout [remie from p feet to 181 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 />INTERVALS OF CASING REMOVED/RIPPED IN FEET from 0 feet to 2 feet. <br />Cur off 1" P4'C and 6" steel pro[ecuve casing, 0' - 2' <br />I have rzad the statements made herein and know the contents thereof, and that they are true to my knowledge. (Pursuant to Sec[ion <br />24-4-104 (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 />1 <br />TIM H I M E S, General Manager Dale: 10/ 13/98 <br />Himes Drilling Company, Inc. <br />3390 Hwy 6 & 50. Grand Jct CO 81505 ~. -tom "~t~'`-L~ <br />970/?~?-8893 <br />INFORMATION - It is the responsibility of the well owner to have the well properly plugged and sealed. The well construction <br />cott[ractor 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 />