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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Depanment of Natural Resource: <br />1 31 3 Sherman SO, Room 215 <br />Denver. Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: ?3031 832-8106 <br />STATE OF COLORADO <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 Namej11 /Lk UL ,ee i Le <br />Drill Mole I.D. No. L 1476 7 <br />Date Drilled: .260q — ..Z.1)/b <br />OPERATOR: (PROSPECTOR) <br />Name: ' mill P4 LLe <br />Address: lg 7S 1 1E, alei -14S a <br />City(' O/,4L St.:&v Zip:E3COg <br />Telephone No.: (3O3 ) t°/ 7 C9L3 <br />720-289- /1/5.5 <br />The following additional information is required for artesian flowing holes: <br />Om( c of <br />Mined Land Re, lamattun Denver • Grand junction • Durango <br />Prospect NOI No.: P- ozr..8 - <br />Date Permanently Abandoned: <br />DRILLER: 1 <br />Name: .l�c'iii' J G (&ti- 4C 2� <br />Address: 20/110P <br />F)W <br />City: )/4 St e Zip: 8a0.3 <br />Telephone No.: ( 916 )62 ° :i r6/ <br />LOCATION: <br />The following information is required for all prospecting drill holes: f <br />1/4 of the /I/0 1/4 of Section 9 , Township g . Range 9 2 t%t - <br />4 7/1 Prime Meridian, MD /T ___.____ County. <br />if the area has not been surveyed, supply the Longitude __._. West and Latitude _ North. <br />or attach a location map. preferably a USGS Quad. <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />&— <br />SAFETY <br />Distances must be rovided with an accurac of x200 feet (34 <br />feet orth south from the south section line <br />feet east tvest 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 technique. In such a case. complete one abandonment final <br />report form and attach a list of drill hole locations. If more space is needed to provide any of the <br />information for this form, please attach separate sheets. <br />One c,t <br />ACOve ana inactive Mine, <br />