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roan ayVroveuvmo rvv. c,rrvrnrrc <br />UNITED STATES ENVIRONMENTAL PROTECTION AGENCY <br />WASHINGTON, D.C, 20460 <br />EPA <br />PLUGGING AND ABANDONMENT PLAN <br />NAME AND ADDRESS OF PERMITTEE NAME AND ADDRESS OF CONTRACTOR <br />Natural Soda, Inc., 3200 RBC 31, Rlfle, Colorado 81650 <br />LOCATE W ELL AND OUTLINE UNIT ON <br />SECTION PLAT ~ 840 ACRES <br />N <br />N <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />S <br />Blanco <br />SURFACE LOCATION DESCRIPTION I <br />$W 7/40F NE 1/40F $W 1/4 SECTION 26 TOWNSHIP iS RANGE 96W <br />LOCATE WELL IN TWO DIRECTIONS FROM NEAREST LINES OF QUARTER SECTION AND DRILLING UNIT <br />Surface <br />Caption 82S tt. from (Wa) <br />antl 1361 tt. from (ENJ; <br />TYPE OF AUTHORIZATION <br />^ Intlivitlual Permit <br />^ Area Permit <br />^ Rule <br />Number of Wells 1 <br />Lease Name <br />Natural Soda, Inc. <br />S Una of quarter section <br />W Line of quarter section <br />WELL ACTIVITY <br />^ CLASSI <br />^ CLASS II <br />^ Brine Disposal <br />^ Enhanced Recovery <br />^ Hydrocarbon Storage <br />^ CLASS III <br />Well Number: C03358-04838 <br />SIZE WT (LBrFT) TO BE PUT IN WELL (Fr) TO BE LEFT IN WELL (FT) HOLE SIZE Method Of Emplacement of Cement Plugs <br />7 inch 64 feet 8-1/2 inch The Balance Method <br />5 inch 1944 feet 6-3/4 inch The Dump Bailer Method <br />^ The Two-Plug Method <br />Cementing to Plug and Abandon Data: Plug #1 Plug #2 Plug #3 Plug #4 Plug #5 Plug #6 Plug #7 <br />Size of Hde orPipe in which Plug Will Be Placetl (inches) 5 Inch 5 Inch 5 Inch <br />Depth to Bottom of Tubing ar Drill Pipe (t1.) <br />Backs of Cement To ea Usetl (each plug) CIBP 15 138 <br />Slurry volume To Ba Pumpetl (w ttJ 18 163 <br />Calculated Top of Plub (tt.) <br />Measuretl TOp of Plug (ii tagetl h.) 1940 fee 1740 feet surtace <br />swrn wL (Lb~Gal.) 15.8# 15.8# <br />Type Cement or Other Material (Class III) class G class G <br />LIST ALL OPEN HOLE AND/OR PERFORATED INTERVALS AND INTERVALS WHERE CASING WILL BE VARIED (if any) <br />Frain To From To <br />CERTIFICATION <br />I certify under the penalty of law that I have personally examined and am familiar with the information submitted in this document and all <br />attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the <br />information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the <br />possibility of fine and imprisonment. (Ref. 40 CFR 144.32). <br />NAME AND OFFICIAL TITLE (Pleaserypeorphm) SIGNATURE DATE SIGNED <br />/1opN Ia, S'fak.lry ,N o~/ <br />