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_ ---- -- <br />r. <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />?E v <br />puG 2? 1??a awn, <br />usec\ {OVI <br />p?v M n`rg a 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 drillnig program. This report can be used <br />for single or multiple holes and can be modified as needed, provided that the infonnation <br />contained in Rule 4.07.3(3) is supplied. Additional sheets may be attached, if necessary. <br />Notice of Intent No.: X- Zoo? - ZZ`a - DD Date: /0//3/0-;z <br />Project Name: O S G ??' ?'`J A 5-1 L6 <br />Prospector: A? k? A N -) <br />Address: P U 6 , <br />S o,+, e, S-C C c% 31q3 y <br />County: & a /- <br />Name of Drilling Contractor: n ' "^ e 5 ?' t`? ?N9 C 6 ?"+?'??t `? <br />License of Drill and Rig: <br />(Continued on Next Page)