PERMFILE48218

• Permit No: M2006039
• IBM Index Class Name: Permit File
• Doc Date: 6/14/2006
• Doc Name: 110c permit application
• From: Chevron Shale Oil Company a div. of Chevron USA Inc.
• To: DMG
• Media Type: D
• Archive: No

RECE1~/E®
APR 1 8 2006
_ 2 -
Division of Minerals surd Geology
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) Piceance Basin Project Manager
Contact's Name: Mark Hinton Title: Mid-Continent Business Unit
Company Name: Chevron Shale Oil Company, a division of Chevron U.S.A. Inc
Street/P.O. Box: 11111 South Wilcrest P.O. Box:
1
City: Houston
State: Texas Zip Code: 77099
' Telephone Number: ( 281 ~ - 561-3687
Fax Number: ( 888 ) _ 356-8353
PERMITTING CONTACT (if different from applicant/operator above)
'
Contact's Name: Sean Noms Title: Sr. Project Geologist
Company Name: Cordilleran Compliance Services
' Street/P.O. Box: 826 21-1/2 Road P.O. Box:
City: Grand Junction
' State: CO Zip Code: 81505
Telephone Number: j 970 ] - 263-7800
Fax Number: ( 970 ] - 263-7456
'
INSPECTION CONTACT
Contact's Name: Sean Norris Tide: Sr. Project Geologist
' Company Name: Cordilleran Compliance Services
Street/P.O. Box: 826 21-1/2 Road p,O. Box:
City: Grand Junction
'
State: CO Zip Code: 81505
Telephone Number: ( 970 1- 263-7800
' Fax Number: ( 970 ) _ 263-7456
CC: STATE OR FEDERAL LANDOWNER (if any]
' Agency: NA
Street:
City:
'
State: Zip Code:
Telephone Number: ( ) -
' CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: NA
Street:
'
City:
State: Zip Code:
Telephone Number; ( 1-
-3-