2015-03-23_REPORT - M1977424

• Permit No: M1977424
• IBM Index Class Name: REPORT
• Doc Date: 3/23/2015
• Doc Name: Annual Report Fee Map
• From: Occidental Oil Shale, Inc
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
February 2, 2015
George Luxbacher
Occidental Oil Shale, Inc.
C/o Glenn Springs Holdings, Inc.
5005 i.yndon B Johnson FWY Ste 1350
Dallas, TX 75244 -6150
I.ogan %Vash, Permit NI- 1977 -424, Annual Fee InN nice and Report Request
COLORADO
D IV IS I ON or
RECLAMATION
MINING
SAFETY
John W. Hickenlooper
Governor
Mike King
Executive Director
Virginia Brannon
Director
Pl -EASI? READ ('AREFUL1,Y - ACTION RI•:QUIRED
Please attach your COI%IPLE'I *El) written Annual Report and Annual Report Map to this form
Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and
Annual Reports (including a map). You must pay the Annual Fee and submit an Annual Report each year until
reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for
LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive.
The Annual Report and Fee requirement will be considered submitted when %%e have received the follmiIng
components:
L APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as required by rule
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the
"Division ") but your permit is not released by the anniversary date listed below, the Annual Fee MUST be paid. If
the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit
an Annual Report for that year.
Division records indicate the $633.00 fee is due for the following:
Permit: M -1977 -424
Operation Name: Logan Wash
Anniversary Date: March 28, 2015
Total Fee Due: 5633.00 (Due on or before your Anniversary Date)
Return the enclosed Annual Report FORM, a MAP. and a CHECK or MONEY ORDER made payable to: Division
of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate
these documents and fees have already been submitted, please notify the Division.
If you have additional comments and. or information that should be provided to the Division, please provide it below
or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you
have any questions, please feel free to contact Michelle Ramirez (303) 866 -3567 ext 8114. Thank you for your
cooperation in this matter.
IF I IIE ANNUAL FFF SUB%11 I I ALS ARF NOT RL•('L -1VFD ON OR BFFORT YOUR ANNIVERSARY
DATE, T II' FNFORCEMEN 1 PROC'FSS Wit 1. At! FOM.A HCALLY BE- INIATIED. ENFORCEMENT
ACTIONS MAY RFSUI_ "1 IN CIVII PENAIAIF.S AND OR RFV()('A'I ION OF YOUR PERMIT.
VI n[:C VI
Office of
Mined Land Reclamation Denver - Grand Junction • Durango Active and Inactive Mines