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Attachment D <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />D,41artment of Natural Resources <br />1313 Shemon 5:., Room 215 <br />Denver. Colorado W203 <br />Phone- (303) 866-3567 <br />FAX: i303i 832-8106 <br />STATE OF COLORADO <br />MINERAL PROSPECTING DRILL HOLE <br />PEPLMAN .ENT ABANDONMENT FWAL REPORT <br />COYO KADO <br />D I V I S I O N or <br />RECLAMATION <br />MINING <br />SAFETY <br />6:11 R!7ee, jr. <br />Gov?r of <br />Hanis D. Sherman <br />ExexsKrve Dimes; <br />Ran;,L4 i;v. Cahany <br />Divisirn Director <br />M14' a.W Resource Truster. <br />Pursuant to the terms of 3432-113(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: l?r°j4Re-T Prospect NOT No.: P- c)-01 -093 <br />Drill Hole LD. No. rN ` /q 3 / <br />Date Drilled: Y/a 1/0 Y Date Permanently Abandoned: y! °? Flo 9 <br />OPERATOR: (PROSPECTOR) <br />Name- fk"ewf t c k J !J sA T? . <br />Address: _ 5-3-7-s- Z T c- ?e. IrkW,0L V <br />City: 4re" wooot Uiliglfst.: C 0 Zip: $0111 <br />Telephone No.:( '303 l T 4o - <br />D LR LLER: <br />Name: Z0. C_ - l tJe <br />Address: 1 $ 0 O ?. )a 04A <br />City: Avl-or^a St.: C Zip. 80011 <br />Telephone No.:( ?a3 1 153' - 1 e-k IT ( <br />LOCATION: <br />The, following information is required for all prospecting drill holes: <br />A <br />' V E 1 /4 of the _5E 11?4? o) f see 'on 3 3 , Township EON 'Range Prime Meridian, ''V / ---County. <br />If the area has not been surveyed, supply the Longitude _- West and Latitude ____ ?North, <br />or attach a location map, preferably a USGS (quad. <br />The following additional information is required for artesian txouring holes: <br />Distances must be provided with an accuracy of -k20o feet (34-32-113(5.5)(d)) <br />feet ( ) north ( ) south from the ( ) south ( ) north section line <br />feet ( ) east ( ) Kest from the ( ) west ( ) east section line <br />TNQTE: In the case of closely spaced, drill holes having similar geologic and hydrologic characteristics, the Operator <br />may, with the approval of the Division, submit 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 />information for this form, please attach separate sheets, <br />office C4 Office d <br />Mined Land Reciarnation Denver 6 Grand Junction • Durango :fictive and !naOrve Mines