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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Depanment 0► tiarura) R(ISOUrrP., <br />137 ) Shc rrn ,3n St.. Room 313 <br />Denvrr, Ccfurado 80201 <br />Phony. (303) 866 -3367 <br />FAX: 1303,831--8106 <br />STATE OF COLORADO <br />MINERAL PROSPECTING DRILL, HOLE <br />PERMANENT ABANDONMENT CINAI. REPORT <br />COLORADO <br />01" t u N of <br />RECLAMATION <br />MINING <br />— be ---- <br />SAFETY <br />Pursuant to the terms of 34- 32- 113(5.5)(d) and (e) of the Act, all infornation 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.U. No. <br />Equity Exploration Project Prospect NOI No.: P_2011 010 <br />E25 Drill Station - *See attached list <br />Date Drilled: *See attached list <br />OPERATOR: (PROSPECTOR) <br />Name: Rio Grande Silver, Inc. <br />Address: 112 E 12th Street <br />Date Permanently Abandoned: 7/6/2012 <br />City: Creede —,St.: Co Lip: 8113( <br />Telephone No.: x,-719 ) _ 658 -1080 <br />LOCATION: <br />DRILLER: <br />Name- American Drilling <br />Address: <br />19208 East Broadway <br />_ -- - -� —• <br />city: Spokane Valley St,: WA zip: 990. <br />Telephone No.: ( 509 l 921 -7836 <br />The following information is required for all prospecting drill holes: <br />SW 114 of the NW 1/4 of section 35 , Township 43N _, Range O1 W----, <br />10th prime Meridian, Mineral <br />If the area has not been surveyed, supply the Longitude ____- •,,.__,_- `blest and Latitude North. <br />or attach a location map. preferably a USGS Quad. <br />The following additional infloi nation is requiT d for ancsian flowing holes: <br />Distances must be rc�vldeci with an acearac of r_Z(x} feet ( ?4- 32- 113(5.5)(d)1 <br />feet north Doutlt from thesvuth �rtorth section line <br />feet Fast Dvest from the❑ wesF 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 fit>al 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 attaelr a list of drill hole locations. If more space is needed to provide any of the <br />information for thi >. fvrin, please attach separate sheets. <br />0" f( e of oti1. or <br />bared Lax3 Ret laniahoat Denver • Cr..ind lundior + Duranpr? - %(Ilwe ,;na Imwfive Minks <br />