2015-11-06_PERMIT FILE - C1981022 ‎(2)‎

• Permit No: C1981022
• IBM Index Class Name: Permit File
• Doc Date: 11/6/2015
• Doc Name: Colorado Oil And Gas Conservation Commission
• Media Type: D
• Archive: No

FORM State of Colorado
42 Oil and Gas Conservation Commission
Rev
03/12 1120 Uncoln Street, Suite 801, Denver, Colorado 80203 Phone: [phone] Fax: [phone]
NOTICE OF NOTIFICATION
OGCC RECEPTION
Receive Date:
11/13/2013
Document Number:
400512509
This form must be signed by an authorized agent of the entity making assertion.
I certify under penalty of perjury that this report has been examined by me and to the best of my knowledge is true,
correct and complete.
Print Name: Andrea Gross Email: [e-mail]
Signature: Andrea Gross Title: Permit Agent Date: 11/13/2013
Date Run: 11/13/2013 Doc [#400512509] Well Name: Oxbow Mining LLC 2
Entity Information
OGCC Operator Number: 10124
Contact Person: Andrea Gross
Company Name: VESSELS COAL GAS INC
Phone: [phone]
Address: 730 17TH ST - SUITE 340
Fax: ( )
City: DENVER State: CO Zip:
80202
Email: [e-mail]
API #: 05 - 051 - 06118 - 00 Facility ID:
Location ID:
Facility Name: Oxbow Mining LLC 2
Sec: 9 Twp: 13S Range: 90W
QtrQtr: SESW
Lat: 38.930260 Long: -107.453240
NOTICE OF CONSTRUCTION OF A NEW LOCATION
OR MAJOR CHANGE
— 48-hour notice required
Start Date: 11/18/2013
This form must be signed by an authorized agent of the entity making assertion.
I certify under penalty of perjury that this report has been examined by me and to the best of my knowledge is true,
correct and complete.
Print Name: Andrea Gross Email: [e-mail]
Signature: Andrea Gross Title: Permit Agent Date: 11/13/2013
Date Run: 11/13/2013 Doc [#400512509] Well Name: Oxbow Mining LLC 2