2013-12-02_REPORT - M2006039

• Permit No: M2006039
• IBM Index Class Name: Report
• Doc Date: 12/2/2013
• Doc Name: Annual Fee/Report/Map
• From: Chevron Shale Oil Company, a division of Chevron USA, Inc.
• To: DRMS
• Email Name: SJM
• Media Type: D
• Archive: No

Mr. Timm Comer
September 18, 2013
Page 3
Seed
Julie Justus
Fertilizer
Permittee Company:
Mulch
application
760 Horizon Drive Suite 412
Grand Junction, CO 81506
application
Phone Number:
application
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method:
(970) 245 -6489
method:
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method:
13. Is weed control being conducted in accordance with an approved Weed Control Plan? ES ' NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the report
map.
14. Is adequate topsoil reserved for reclamation, based on your approved permit? ES NO N/A
If "NO ", please explain:
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES NO N/A
If "NO" please explain:
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office ofthe
State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO N/A
17. Are all hazardous materials stored within approved spill containment structures? YES NO /A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation ES NO N/A
19. Is your basis for legal right to enter still valid? YES NO
20. Does your permit require you to submit monitoring information annually? YES NO N/A
If "Yes ", please attach the required monitoring results to this Annual Report.
21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the
Extraction of Construction Materials (C.R.S. 34 -32 -116 or 34- 32.5 -116), attach a map to this report that
accurately depicts the permit boundary, current affected area boundary and location of the acreages specified in
items 7- 12 and 14. UPDATED MAP ATTACHED:
Division records indicate the following permittee contact information. If this information is not current, please type
or print current contact information:
Permittee Contact:
Julie Justus
Permittee Company:
Chevron Shale Oil Company, a
division of Chevron USA, Inc.
Address:
760 Horizon Drive Suite 412
Grand Junction, CO 81506
Phone Number:
(970) 257 -6042
Fax Number:
(970) 245 -6489
Email Address:
CF.PR.email
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site
operations are tieing conduced in accordance with the Division approved mining and reclamation plans.
Signature of,- Permittee, Corporate Officer, Owner, or Documented Designee Date
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