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Project Name: <br />Prospector: <br />Address: <br />County: <br />License of Drill and Rig: <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />COAL EXPLORATION DRILL HOLE OR WELL ABANDONMENT REPORRECEIVED <br />DEC 212012 <br />Division of Reclamation, <br />This report is filed in accordance with Rule 4.07.3(3) of the Regulations of the Colorado Mining & Safety <br />Mined Land Reclamation Board for Coal Mining, adopted in accordance with the Colorado <br />Surface Coal Mining Act, C.R.S. 34 -33 -101 et seq. This report is to be submitted within 60 <br />days of sealing and plugging of all drill holes approved under the specific drilling program. <br />This report can be used for single or multiple holes and can be modified as needed, provided <br />that the information contained in Rule 4.07.3(3) is supplied. Additional sheets may be <br />attached, if necessary. <br />Notice of Intent No.: X - 2006 - 153 - 14 <br />Geotechnical Drilling <br />CAM - Colorado, LLC <br />743 Horizon Court, Suite 201 <br />Grand Junction, CO 81506 <br />Mesa and Garfield <br />Name of Drilling Contractor: <br />Date: <br />D. A. Smith Drilling Company, Inc. <br />Diedrich D50, License Number 1314 <br />(Continued on Next Page) <br />December 17, 2012 <br />