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Permittee Contact: <br />Garth Cooke <br />Permittee Company: <br />Garth Cooke <br />Address: <br />P. O. Box 95 <br />Warne, NC 28909 <br />Phone Number: <br />(828) 389 -8845 <br />Fax Number: <br />Email Address: <br />CF.PR.email <br />Landowner Contact: <br />6 Cr eiF 0 6 6 <br />Landowner Address: <br />Q o 86,x, qS <br />w 4e.1 t 11 c' 3W'bc <br />Landowner Phone <br />Number: <br />i_ S 1 S- 3 g 5- S$ 4 15" <br />1 _ 6 361- 5'I <br />Landowner Email <br />19. As required by rule 5.6.1(f), attach a map to this report that accurately depicts the NOI boundary, current affected <br />area, location of all previously listed featured, and all acreages listed in items 6 through 12 and item 20. These <br />activities must be identified on a site map of adequate scale to field locate these areas, and may include coordinates in <br />latitude and longitude to at least 5 decimal places, or UTM coordinates with the datum and zone specified. <br />UPDATED MAP ATTACHED: L x <br />Page 4 of 4 <br />20. Rule 5.7 requires submittal of final abandonment reports within 60 days for any drill hole(s) with artesian flows and <br />no later than 12 months for all other completed drill holes. <br />ABANDONMENT REPORTS ATTACHED: t( R or.. N/A <br />Division records indicate the following permittee /landowner contact information. If this information is not current, please <br />type or print current contact information: Rule 5.6.1(a, b). <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division approved NOI and reclamation plans. Rule 5.6.1(h). <br />d al NI <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee <br />it f -(1 <br />Date <br />