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<br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Narura) Resourr'c :. <br />1313 She rrnan St., Room 21$ <br />Denver, Co1c )ratio 13020 3 <br />Phone: (303) 866-3567 <br />FAX: 13037 832-8 106 <br />STATE OF COLORADO <br />RECD ?$. ---- --- <br />JAN 14 2011 <br />Division or C O L L7 R A p p <br />rc <br />eat iarrlaticn, D 1 `' '4'0v OF <br />Using all S3Po?j RE M IN T .ATioN <br />I T G <br />M1N <br />SAFETY <br />MINERAL PROSPECTING DRILL HOLE <br />PERMANENT ABANDONMENT' I INA.L REPORT <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: _ /V 3 Prospect NOI No.: P- X - Zoo8 - Z 30 - o L <br />Drill Hole I.D. No. 3to?Z2 - 4 <br />Date Drilled: ID I?-./ 10 <br />OPERATOR: (PROSPECTOR) <br />Date Permanently Abandoned: 4 c) Z3 10 <br />Name: '1 ` N'f'3PiiN L'!Z4UT-i ,NC <br />Address: 3 toot L-a „ y.€c <br />City: ?-Am aq k L\_ St. Co Zip: Y,?eyB <br />Telephone No.: ( ? 1.0 ) 615 _ 4 3 S 3 <br />LOCATION: <br />DRILLER: <br />bix'N .___ t------^ - <br />Address: v., _?o -c zo ? ?r 7 <br />City: C?e NN a St.: W c Zip: 'b <br />loo <br />Telephone No.: f 301 ) to 3 Z- 9 S 34 <br />The following information is required for all prospecting drill holes: <br />1/4 of the $ E 1/4 of Section Z 2 <br />to ---- - , 'Township . 3 N Range 1 o I vt! _, <br />?_Prime Meridian, RB(= cn _ County. <br />If the area has not been surveyed, supply the Longitude <br />or attach a location map. preferably a tYSGS (quad. West and C..atitude North. <br />The following additional in,.#`orrnation is required kr artesian flowing holes: <br />1:)istances must be rovided with an accurac of .i:200 °>: ot. rt?t (14-32-113(5,5)(d)) <br />-______-_____------ feet orth Usouth from the south north section line <br />feet Bast west from thet west east section line <br />NOTE: 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 teehn€que. In such a case. complete; ope abandonment final <br />report for€r€ and attach a list of drill hole locations. If more space is needed to provide any o f the <br />infornisation ft )r this fbi-rn, please'; attach separate sheets, ' <br />t:3rru r• of ....................•... <br />vn';€•ri Lrr;ri Ke. Inrncu;r U1nre of <br />Dom or . Grand )unction - Durango <br />Zrtitrr, <s;+t.r Inactive rAinE's