2011-01-14_PERMIT FILE - X200823002

• Permit No: X200823002
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/14/2011
• Doc Name: Drill Hole Abandonment Reports
• From: Blue Mountain Energy
• To: DRMS
• Email Name: KAG
• Media Type: D
• Archive: No

J
STAT
F COLORADO
DIVISION OF RECLAMATIOM, MINING AND SAFETY
Deparun;rnt of Nxural Resource,
t . 3 Szhcerman St., Roan 21$
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
JAN 14 2011 --4AN
Division Ur rt&Claniaacn, C O L O R A D O
Mining at.d 5atc j RECL.A.M.AT10N
MINING
SAFETY
MINERAL PROSPECTING DRILL HOLE
PERMANENT ABANDONMENT FINAL REPORT
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
as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record.
Prospect Site Name: Prospect NOI No.: P-? - Zoo - Z 3 O - a Z
Drill Hole T.D. No. 310 17- to - B
Date Drilled: --10 126 1 "0 _ Date Permanently Abandoned: t t / ?O
OPERATOR: (PROSPECTOR)
Name: %%-\JE M%-jntTA,N IFMQNLe,!n IOd
Address: 3\o0 1 ?,O\j,,,, s 'Kia
City: YAN G g St Lo Zip: 81 tb 4 $
Telephone No.: 9! 1° ) 615- 4353
DRILLER:
Name:
Address: _ a-,_??? Zat`E ? _---
City: C1t_ _ !y NN E St.: w?^ Zip: B Zo Q,3
Telephone No.: L 3,)l ) tv 3 Z- g S 31-
LOCATION:
The following information is required for all prospecting drill holes:
SW 1/4 of the ?N W I/4 of Section -_ ift ZSo , Township 3 P , Range X01 V?! ,
Prime Meridian, t\ 'D '3Xjk^ w _County.
If the area has not been surveyed, supply the Longitude West and l..atitude North,
or attach a location map, preferably- a [a SG S (quad.
The following additional information is required far artesian flowing holes:
1`listances must be provided with an accurac ±200 feet (34-32-113(5.5)(d)),
feet laorth south from nor th section line
feet East west from the weso east section line
N--.OTE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator
mays, with the approval ofthe Division, submit a single consolidated final report including the location of all
drill holes and a description of abandonment technique. In such a case. complete one abandonment final
report form and attach a list of drill hale locations, If more space is needed to provide anv of the
information f-or this fbrrn, pleas; attach separate sheets.
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