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- ----------- ---- <br />-------------- <br />- <br />-- -- ------ - -- <br />pF' <br />e?`Y- Q9O <br />y? O <br />+t COLORADO DIVISION OF MINERALS AND GEOLOGY <br />18761313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />??G,ZZ10 <br />o <br />?e <br />G?ama <br />O???S10n °1 acts <br />t? <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.: <br />Project Name: <br />Prospector: <br />Address: <br />x -Z0,07- 2-2g6- oG Date: <br />4 - 7- Zook <br />Zrt4 S•4 t.7- t+1,4JW -35 W D e& <br />,Q e ZA &1,4 4 p,W IO•9N <br />-? o , Qox S9/ <br />%:rb.ex,rer eo 817°341 <br />County: <br />Name of Drilling Contractor: <br />License of Drill and Rig: <br />? 4.Ve4JM-,2 ?,Qe c «,vG <br />L AA/- -1- -- <br />(Continued on Next Page)