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Attachment D <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of nfars,ral Resources <br />t 37 3 Sheanan Stβ€ž Room 215 <br />M-nver, Colorado 801203 <br />Fhorte: (303) 866-356 <br />FAX: (3k,)3) 832-8406 <br />STATE OF COLORADO <br />MAy E<RAL PROSPECTING DRILL HOLE <br />PERIvIANI~NT ABANDONMENT FINAL REPORT <br />COLORADO <br />n i vi s i o N a F <br />RECLAMATION <br />MIN ING <br />SAFETY <br />8411 Rlaer, ir. <br />C'Jvernot <br />Harris 0. Sherman <br />h xcufire Urecrur <br />Ronald M Cananv <br />bivilio oireoor <br />Nawral Resource Trowe <br />Pursuant to the terms of 34-32-113(5.5)(d) and (e) of the Act, all information provided in this report shall be protected <br />as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record, <br />Prospect Site Name: Centennial Project Prospect NOI No.: Pp2 008 _ 043 <br />Drill Hole I.D. No. IN-10-9 <br />Date .Drilled: OI!?r? S Date Permanently Abandoned: O a Dl_ <br />OPERATOR: (PROSPECTOR) DRILLER: <br />Name: PowerTech (USA), Inc. Nam: Davis Drilling <br />Address:5575 DTC Parkway, Suite 140 <br />Address: P.O. Bow 2302 <br />City: Greenwood Vlg St,: CO Zip. 80111 <br />Telephone No.: (303_ ) 790.7528 <br />City: Gillette St.: WY Zip; 82717 <br />Telephone No,: (3 0 7 ) 299.4099 <br />LOCATION: <br />The following information is required for all prospecting drill holes: <br />NW 114 of the NE 114 of Section - 9 , Township 9N , Range 67W <br />6th Prime Meridian, Weld County. <br />If the area has not been surveyed, supply the Longitude West and Latitude Nbrth, <br />or attach a location ntap, preferably a USGS Nad. <br />The following additional information is required for artesian flowing holes: <br />Distances must be provided with an accuracy of ±200 feet (34-32-113(5.5)(d)) <br />feet ( ) north ( ) south from the ( ) south ( ) north section line <br />feet ( ) east ( ) west from the ( ) west ( ) east section line <br />l_v'QFE: in the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator <br />may, with the approval of the Division, subunit a single consolidated final report including the location, of all <br />drill holes and a description of abandonment technique. In such a case, complete one abandonment final <br />report form and attach a list of drill hole locations. If more space is needed to provide any of the <br />inforion for this form, please attach separate sheets. <br />_ <br />office of (Jffice of <br />M;ried Lanni Reclamation Denver - Grams Junction β€’ Durargo Adw and fnactiw MMans