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.s- <br /> <br /> <br />COLORADO DIVISION OF MINERALS AND GEOLO%*CE'VED <br />*•,876•* 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 ,Z 200a <br />hJU 2 <br />piv?s?an of "ectamaon. <br />tArUg and Salety <br />oF?O<o <br />k+ <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.: k- '200'7 - 22 $ - 0P Date: (o to 167' <br />Project Name: 116, S A L-r ?.•? AS J-1 ,?ScaJ OZ©? <br />Prospector: N\ b Co M A taN <br />Address: 00 "gov Swl - <br />C-6 NqYt <br />County: ARE 16 LZ COLO <br />Name of Drilling Contractor:) M <br />License of Drill and Rig: <br />\.,0 .A-r C. I LO ELL L ? C :ll 5'----?I <br />(Continued on Next Page)