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ECEIVED JAN 2 9 2003 Division of Minerals and Geology COAL MINING- PROCESS WATER AND STORMWATER DISCHARGE APPLICATION clo FOR AGENCY USE ONLY PERMIT NUMBER DATE RECEIVED YEAR ~ MONTH ~ DAY PLEASE PRINT OR TYPE Do not attempt to wmplete this form before readmg the accompanying mstmctions. New ^ or Renewal ^ If renewal, existing permh number. CO G-850027 1. Name sud Address of Operator: Company Name: Oakridge Eoergy, Inc. Federal Taxpayer (or Employer) ID#: 870287176 Mailing Address: 4613 Jacksboro Highway City, State and Zip Code: Wiebita Falls, Teras 76302 Phone Number: (9401 322 4772 Who is applying for the permit? X Owner Operator Local Contact(famdiarwit6fac0ity); Victor Boren Title: VicePresideot,Operatious,FourCoroersMaterials,Iuc. Phone Number: (970 1 247 2172 Fax No.: (9701 259 6177 2. Name eod Address of Owuer. Name: Oakridge Eoergy, luc, Mailing Address: 4613 Jaekaboro Highway City, State and Zip Code: Wichita Falls, Tesas 76302 Phone Number: (9401 322 4772 Fax No.: (9401322 9452 3. Location of the Facility: Street Address: Ewin¢ Mesa, hvo miles south of City, Slate and Zip Code: Dunogo, Colorado 81301 County: La Plata Name of facility : Carboo Junction Mine Legal Location (Township, Range, section, 1/4 section): Section 4 T34N, R9W, Sectiou 33, T34Y:N, R9W, and Sectioa 33, T35N, R9W Latitude and Longitude: 35°15'00" N, 107°51'20" W 4. Corporate Structure: Please provide, oa a separate sheet, the corporate structure(s) for those companies listed m items 1 and 2. The stmeture should extend to the ultimate parent company. )n the case of a joint venture, please provide [his information for each company which is part of the joint venture, as well as ownership interests. See Attached 5. Standard Industrial Classifieatioo (SIC) Code(s) for this facility. (Include up [o four, in order of itnportance.) a) 1221