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oF: COto <br />COL O DIVISION OF MINERALS AND GEOLOGY <br />} 1876. `41 erman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />. ? L`L ?a?orA <br />R' o&99 SO`?grl <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 infonnation <br />contained in Rule 4.07.3(3) is supplied. Additional sheets may be attached, if necessary. <br />Notice of Intent No.: X- 2 00'1- Z 28 -moo <br />Project Name: ??4 Sic r W si/ <br />1 <br />Prospector: 2sc IA'Ja <br />Address- P o. [; ox S 9 t <br />..So17qe-rSET , " 81y3 <br />County: G <br />Date: S ' a o -'L <br />5V4070Z <br />Name of Drilling Contractor: ?9 LQ ^,'IlI?A!q <br />P.,sc 4? 531 <br />License of Drill and Rig: <br />(Continued on Next Page)