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<br />DIVISION OF RECLAMATION, MINING AND SAFETY
<br />Depanrrient of Natural Resource,
<br />131 3 Stu rrnan St_, Room 213
<br />Denver, Colorado 80203
<br />Phone: (303) 866-3567
<br />FAX: 130.3) 832-8106
<br />STATE OF COLORADO
<br />RECEIVED
<br />JAN 14 2011 _`4%
<br />COLORADO
<br />DIVIS101'1 i : ia+na is n, r.? I t • r ?.? (3f
<br />Mining vt,d SLf RECLAMATION
<br />MINING
<br />SAFETY
<br />MINERAL PROSPECTING DRILL HOLE
<br />PER1gANENT ABANDONMENT FINAL 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: Prospect NOI No.: P- - too 8 - 23r-) - O Z
<br />Drill Hole T.U. No. tC) 1 2 -7 - 12 C.
<br />Date Drilled: Date Permanently Abandoned: 4 3 0 t O
<br />OPERATOR: (PROSPECTOR) DRILLER:
<br />Name: kvE MOJMTr41!y l nt?Yt4?, I Vic.
<br />Address: It, o f 1 -_p,
<br />1O S
<br />- ---
<br />City: RAN 4 c-k"N_ St,: LO "Lip 1 6
<br />Telephone No.: ( `k 1 0 ) b'1 S' - Lk 3 S 3
<br />Name: S 1?A ?SL.>> > ?? G (o M A H Iv
<br />Address: 1'.O? Qgx
<br />City: CHh ?Nnc E St.: Wq Zip: % 2d p 3
<br />Telephone No.: ( 30l b 3 Z -' TS Si
<br />LOCATION:
<br />The following information is required for all prospecting drill holes:
<br />S v,/ 114 of the NC
<br />!T?
<br />?D Prime Meridian, f-.±e S3Lp, weo County.
<br />If the area has not been surveyed, supply the Longitude _-__--- west and Latitude North.
<br />...........
<br />or attar a location map, preferably a iaSGS (quad.
<br />'I"lip: following additional infbrmat'ion is required for artesian flowing holes:
<br />Distances must bz rovided with an accurae , or .1:200 f'ect (-14-32-1113(5.5)(d))
<br />----- ----_------ -.- feet orth Usouth from the south north section line
<br />feet t.ast 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;tte Division. submit a single consolidated final report including the location of all
<br />drill holes and a description of abandonment teehnique. In ,-,,,h a case, complete one abandonment final
<br />report forin and attach a list of drill hole locations, if more ;pace is needed to provide any of the
<br />infornia ion fi.)r this farm, please attach separate she:ets-
<br />_...___.___.______._'_'_._.___- .............._.___-______,.._.-...,.,.............._.._ _ ..- .,._...,__..._............ ,..,--....,.,....,...............,....._.........,..,,..,,...,,
<br />t..il'f1c of Ohre cif
<br />virted l..ci';[l Rt" i',T1d11U9i Dow or - rmid Junction * Dufaingo Artivo inci Irwctive mines
<br />1/4 of Section _ vj , Township _3 ?4 , Range la t W
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