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Page 4 of 4 <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: /'vG <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: A' 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 />Permittee Contact: <br />Al Dowdy <br />Landowner Address: <br />;T 7;L m ro d t79 <br />Permittee Company: <br />Al Dowdy <br />Landowner Phone <br />C 77 r a <br />Address: <br />15725 Ramrod Dr. <br />Landowner Email <br />Peyton, CO 80831 <br />A10 A/ e-- <br />SI�irL�� <br />Phone Number: <br />(719) 749 -9860 <br />4r <br />Fax Number: <br />(719) 683 -3731 <br />O IV <br />Email Address: <br />CF.PR.email <br />A/0 Al <br />Landowner Contact: <br />41— c0 Y <br />Landowner Address: <br />;T 7;L m ro d t79 <br />f✓�y'!ow 0 <br />Landowner Phone <br />C 77 r a <br />Number: <br />p y 9 g a <br />Landowner Email <br />A10 A/ e-- <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 />of <br />Owner, or Documented Designee Date <br />