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~aTS ~ <br />COLORADO DIVISION OF A~IINERALS AND GEOLOGY <br />1313 Sherman Stmt, Room 215, Denver, Colorado 80203, (303) 866-35b7 <br />COAL EXPLORATION DRII.L HOLE OR WELL ABANDONMENT REPORT <br />This report is filed in accordance with Rule 4.073(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.ILS. 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 />coirtained in Rule 4.07.3(3) is supplied. Additional sheets may be attached, if necessary. <br />Notice of Intent No.: ~~ K/i/®L~Pl/~ Date: f l ~~~© g <br />Project Name: G©~D~i~l L l~C}l.~ /g LGf/~//f¢C Ly~IL-S <br />Prospector. ~QSlrt/ ~e ~'otcd`c~S -~tr~c <br />Address: ;~ - Na~~ Cas ~~~ evt u ~ , 2~0 ~I~~R <br />Co !~/1~c~o 5vr1N~Q c <br />~I o~a~o S'a~lo3 <br />County: 'L, -~S lTYI fliYlaS <br />Name of Drilling Contractor: <br />~/v7-~~Q~~~ <br />License of Drill and Rig. <br />(Continued on Neact Page) <br />