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-,, . .---- , Form3160-3 (April 2004) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT APPLICATION FOR PERMIT TO DRILL OR REENTER la. Type of work: ~ DRILL ^ REENTER FORM APPROVED Oh1B No. 1004-0137 Expires Match 31, 2007 5. Lease Serial Na C-0118327 6. ff Indian, Allotee or Tribe Name NA I If Unit or CA Agreement, Name and No. White River Nahcotlte 8 Lease Name and W It No Ib. Type of Well: Oil Well Gas Well Q Other aSingle Zone Multiple Zone e 7H-IV 2 Name of Operator 9. API Well Na Natural Soda, Inc. NA 3a. Address 3200 RBC 31, Rifle, Co 81650 3b. Phone N0. (include areo code) 10. Field and Pool, or Explorrtory 970-878-3674 Bo1ea Bed 4. Location of Well (Report location cle~ly and in acmrdmue with Cory Srau reguiretnentr. q 11. Sec., T. R. M. or Blk and Survey or Area At surface N229595.75 E1198074.10 or 39°55'40.43706 N 108°21'42.82093 W At proposed prod. zone N229595.75 E1198074.10 or 39°55'40.43706 N 108.21'42.82093 W TiS R98W Section 26 14. Distance in miles and direction from nearest town or post odre' 12. County or Parish 13. State 45 mBes southwest of Meeker Colorado Rio Blanco Co I5. Distance from proposed' .-233.36 feet 16. No. of acres in lease l7. Spacing Unit dedicated b this well location to nearest property or lease line, ft (Also to nearest drig. unit line, if any) 8222.6 I8. Distance from proposed location' 19. Proposed Depth 20. BLMBIA Bond No. on file to nearest well, dolling, completed, applied for, on tins lease, ft. ~ 500' S of 5H-1 V 2000 bgs 6149905 21. Elevations (Show whether DF, KDB, RT, GL, etc.) 22 Approximate date work will start' 23. Estimated duration Ortho Ht. 6682 05/20/2008 Two Weeks 24. Attachments The following, completed in accordance with the requirements of Onshore Oil and Gas Order No.l, shall be attached to this form: 1. Well plat certified by a registered surveyor. 4. Bond to cover the operations unless covered by an existing bond on file (see 2 A Drilling Plan. Item 20 above). 3. A Surface Use Plan (if the location is on National Forest System Lands, the 5. Operator certification SUPO shall be filed with the appropriate Forest Service Office). 6. Such other site specific information and/or plans as may be required by the authorized officer. 25. Sig lure Name (Printed/Typed) Date ~~4~a ~~ ~" Bob Warneke 04/21/2008 Title Approved by (Signature) L~ Jl' ~ Name (Prrnted'Type Date / ~ ~ ~,, - ~IELD MANAGER vs/i3/a8 Director of Manufacturing Title White River Field Office Meeker, Co. Application approval does not warrant or certify that the applicant holds legal or equitable title to those rights in the subject lease which would entitle the applicant to conduct operations thereon. Conditions of approval, if any, are attached. Title IS U.S.C. Section 1001 aid Tide 43 U.S.C. Section 1212, make it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within itsjuris gichon. '(Instructions an page 1)