2001-03-19_REPORT - M1977424

• Permit No: M1977424
• IBM Index Class Name: Report
• Doc Date: 3/19/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE NAME: Occidental Oil Shale, Inc. MAR 19 2001
PERM IT NO.: M-1977-424
OPERATION NAME: Logan Wash Division of Minerals and Geology
ANNIVERSARY DATE: March28,2001
ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date)
COUNTY: Garfield
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date.active,operations ceased.for the year, if any.
Plcise attach your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Franklin Miller
Perrnittee Name: Occidental Oil Shale, Inc.
Address: C/o Glenn Springs Holdings, Inc.
2480 Fortune Dr., Ste. 300
Lexington, KY 40509
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signature of Corporal Officer or Owner
3 (' d1
Date
M.\PERMnN1ASTERD000UAENTS/M-AF-02 DOC