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NRCS Map Unit Name: <br />NRCS Map Unit Name: <br />13. Plant Community: <br />Complete this section only if any portion of the disturbed area of the location's current land use is on non -crop land. <br />Are noxious weeds present: Yes No (x <br />Plant species from: FX NRCS or, field observation Date of observation: <br />List individual species: GAMBEL OAK ELK SEDGE MOUNTAIN BROME SASKATOON SERVICEBERRY <br />WHEATGRASS MOUNTAIN SNOWBERRY NEEDLE GRASS WESTERN WHEATGRASS <br />ARIZONA FESCUE, BLUEBUNCH WHEATGRASS, BOTTLEBRUSH SQUIRRELTAIL, COMMON <br />SNOWBERRY, MUTTONGRASS, SAGEBRUSH, SLENDER WHEATGRASS <br />Check all plant communities that exist in the disturbed area. <br />Disturbed Grassland (Cactus, Yucca, Cheatgrass, Rye) <br />(X Native Grassland (Bluestem, Grama, Wheatgrass, Buffalograss, Fescue, Oatgrass, Brome) <br />r Shrub Land (Mahogany, Oak, Sage, Serviceberry, Chokecherry) <br />Plains Riparian (Cottonwood, Willow, Aspen, Maple, Poplar, Russian Olive, Tamarisk) <br />Mountain Riparian (Cottonwood, Willow, Blue Spruce) <br />Forest Land (Spruce, Fir, Ponderosa Pine, Lodgepole Pine, Juniper, Pinyon, Aspen) <br />Wetlands Aquatic (Bullrush, Sedge, Cattail, Arrowhead) <br />Alpine (above timberline) <br />Other (describe): ADDITIONAL PLANT SPECIES: TRUE MOUNTAN MAHOGANY <br />14. Water Resources: <br />Rule 901.e. may require a sensitive area determination be performed. If this determination is performed the data is to be <br />submitted with the Form 2A. <br />Is this a sensitive area: No r Yes Was a Rule 901.e. Sensitive Areas Determination performed: FX- No Yes <br />Distance (in feet) to nearest surface water: 62 , water well: 208 , depth to ground water: 30 <br />Is the location in a riparian area: No Fx- Yes Was an Army Corps of Engineers Section 404 permit filed Fx-No Yes <br />Is the location within a Rule 317B Surface Water Suppl Area buffer zone: <br />Fx No 0-300 ft. zone 301-500 ft. zone 501-2640 ft. zone <br />If the location is within a Rule 317B Surface Water Supply Area buffer have all public water supply systems within 15 miles <br />been notified: No Yes <br />15. Comments: <br />THIS 202' DEEP BORE HOLE WAS DRILLED IN JUNE OF 2010. VESSELS HAS BEEN REQUIRED TO GO BACK AND <br />RECEIVE COGCC APPROVAL SINCE THEY WISH TO NOW GENERATE ELECTRICITY FROM THE VENTED <br />METHANE GAS ON THE SITE RATHER THAN RELEASE INTO THE ATOMOSPHERE. THIS WELL IS LOCATED <br />APPROX 4000' NORTH OF THE TOWN OF SOMERSET. PLEASE CONTACT MARK AT 303-820-4480 OR <br />MARK@BANK01.COM IF YOU HAVE ANY QUESTIONS. <br />I hereby certify that the statements made in this form are, to the best of my knowledge, true, correct and complete. <br />Signed <br />Date: 01/16/2012 Email: KIM@BANK01.COM <br />Print Name: KIM RODELL Title: PERMIT AGENT <br />Based on the information provided herein, this Application for Permit -to -Drill complies with COGCC Rules and applicable orders <br />and is hereby approved. <br />COGCC Approved: Director of COGCC Date: 2/10/2012 <br />CONDITIONS OF APPROVAL, IF ANY: <br />Date Run: 211012012 Doc [#400240957] Loc Name: ELK CREEK FAN BOREHOLE #1 Page 3 of 5 <br />