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

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DIVISION OF RECLAMATION, MINING AND SAFETY
Depanment of Natural Resource.
1313 Sharman S%-, Room 21,i
Denver, Colorado 8020 3
Phone: [phone]
FAX: [phone]
STATE OF COLORADO
RECEIVED
JAN 1q COLORADO COL n v
I.? 1 v'4 10'14 t7 F
Division o r+6ciamatk'n, RECLAMATION
M IN I NG
Mining 0011d
SAFETY
MINE;.RAI, PROSPECTING DRILL HOLE
PERI_VANENT ABANDONMENT FINAL REPORT
Pursuant to the terms of 34-32-113(5.5)(d) and (e) of the Act, all information provided in this reportshall 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_ X - 200° - 230 - Z.
Drill Hole T.D. No. '? ? y -
Date Drilled: k c 1 I -L 1 x o
Date Permanently Abandoned: t- 1 14 f t o
OPERATOR: (PROSPECTOR)
Name: 13t_VL MTN rz&?E(L?y?? 1tvL
Address: - 3too-7 bS.____ ._--
City: 2P; Svc, ems, ?_ St.: Qo ,Lip: b t e? g
Telephone No.: (y a) 7 S- y 3 S3
DRILLER:
Name:
Address: 20 i y 7
City: t - ?v?' St.: W?_Zip: i3Lov3
Telephone No.: 307 ) 632--q S 3 `V
LOCATION:
The following information is required for all prospecting drill holes:
!`I 1/4 of the _ SE 1/4 of Section -- 1 Township 3 N gauge 10 v?/
Prime Meridian, R-\ Q li- N (-o County.
If the area has not been surveyed, supply the Longitude -_--- West and I..atitude __-_................. North.
or attach a location map, preferably a 6SGS (quad.
'I""he following additional information is re€IuiTVd far artesian flowing holes:
Mstances must lac rovided with an accurac of 200 feet (34-32-11305 5)(d))
------ D I
---------_---- feet [north south from the south north section line
feet Bast west from the[] west east section line
N- OTE;: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator
may, with the approval of the Divisi«n, submit a single consolidated final report including the location of all
drill holes and a description of abandonment tet;hntque. In such a case. complete one abandonment final
report foram and attach a list of drill hole locations, If more space is needed of provide any of the
inforfllat'torl for this form, please attach separate sheets.
-----------------.._..
Of(7c i. of _..,......,._, ..._..._..., _.....,_...--.__ ........... ..........
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