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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY ??'??,??_-- ??T-- <br />Depanment of tiarural Resources <br />13', 3 S is rman St-, Room -213 <br />Denver, Coforado (30203 <br />Phone.: (303) 866-3567 <br />FAX: t3t)3j 831-8106 <br />'IN 7gZp'1 <br />Division Qj:;tacJ <br />Mining and Sef n, <br />COLORADO <br />r)tv1t10-4 of <br />RECLAMATION <br />MINING <br />SAFETY <br />MINERAL PROSPECTING DRILL HOLE <br />PERMANENT 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: <br />Drill Hole I.D. No. 3\0 ? -LU - to <br />Prospect NOI No.: P=? <br />Date Drilled: _ Date Permanently Abandoned: <br />OPERATOR: (PROSPECTOR) DRILLER: <br />Name: \-vC M?voaTR?l? I?ti24? Name: SH)Aatc G La V\( er?A\., <br />Address:- bto 0't C° %j A Tkl 7 o0 z$ b$ Address: _ T. 'a , $o <br />City: ZAN4Et`j St.: C? Zip: tIWk City: _01 NraE W <br />tY? ht St.:_?` _ Lip: 82 '00 3 <br />Telephone No.: -t t?-I 5 - )35 3 Telephone No.: ( *?*7 L l? 3 2. - 9 S 3`{ <br />LOCATION: <br />The following information is required for all prospecting drill holes: <br />N% W l /4 of the -- S E 1 /4 of Section _ V p , Township -rw . 3 i`? , Range L c)% Prime Meridian, R'" 'J"SL ft N co County. <br />IT the. area has not been surveyed, supply the Longitude west and Latitude <br />or attach a location map, preferably a t SGS Quad. North. <br />The following additional information is required for artesian flowing holes: <br />Distances mustbe vrovided with an accurac of .t_200 (Get (34-32-114(5,5)(d)) <br />`------- feet [forth Osouth thorn the south north section hoe <br />feet t.ast west from thet west east section line <br />?`'Tn'r_k'_: 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 tei(hnlque. In ;uch .a case. complete one abandonment final <br />report f`orni and attach a list of drill hole locations, If more space is needed to provide any of the <br />information fbT this farm, please attach separate sheets. <br />v4n(>d I-,;r;C7 RP; I«rnunos, Once (,t.........._..-•- <br />Donvor . rand )unctk)r, , Durango <br />Arrive an('i InaCtiVB Mines