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<br />S~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNiiAi, FF.F, and RF.PnRT RF,t7IIF.ST,,. ,_,,. - <br />~--r.. , <br />Occidental Oil Shale, Inc. <br />/M-1977-424 <br />Logan Wash <br />March 28, 2006 <br />• eU <br />~'/~ 2 3 2006 <br />/Grand JuncOon Fteld Office <br />Division of Minerals & Geology <br />$550.00 (Due on or before your anniversary date) <br />Garfield <br /> <br />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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach xgnr revised written annnal rennrt and annnal re,Rgrt main fn this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Franklin Miller <br />Permittee Name: Occidental Oil Shale, Inc. <br />Address: <br />Phone Number: <br />Fax Number: <br />C/o Glenn Springs Holdings, Inc. <br />2480 Fortune Dr., Ste. 300 <br />Lexington, KY 40509 <br />(859)543-2100 <br />(859)543-2]71 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are _ <br />enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />z/zj/~~ <br />Date ~ <br />RECEIVED <br />MAR ? 8 2006 <br />O~vision ~f Minerals and Geology <br />M:~PERMI'M1AS7ERDOCUMENTS/M-AF-02.DOC <br />