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OFCO?O <br />... Frij <br />IH <br />{ 1876 + <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />COAL EXPLORATION DRILL 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 Coal Mining, adopted in accordance with the Colorado Surface Coal <br />Mining Act, C.R.S. 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 />contained in Rule 4.07.3(3) is supplied. Additional sheets may be attached, if necessary. <br />Notice of Intent No.: X - 2-0(07 - Z 2 S -o o Date: 7 <br />Project Name: ;0/4 `S 2- G?.4ss! '3sid©7o S- <br />Prospector: '4" c-4.v,0 C'O.e <br />Address: <br /> <br />o5or?t ?nosE7- eo F3/lkl3 <br />County: e.04-0 <br />Name of Drilling Contractor: TS/ /H.?s V?2?LLt,cs? ??o,y <br />License of Drill and Rig: CO CO ?'c '# <br />(Continued on Next Page)