2010-07-12_REVISION - M1983194 (55)

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Form 3160-3 FORM APPROVED (April 2004) OMB No. 1004-0137 Expires March 31, 2007 UNITED STATES DEPARTMENT OF THE INTERIOR 5. Lease Serial No. C-0118327 BUREAU OF LAND MANAGEMENT APPLICATION FOR PERMIT TO DRILL OR REENTER 6. If Indian, Allotee or Tribe Name NA 7. If Unit or CA Agreement, Name and No. la. Type of work: DRILL ? REENTER White River Nahcolite 8. Lease Name and Well No. lb. Type of Well: Oil Well F]Gas Well Other ? Single Zone Multiple Zone 121-1-I 2. Name of Operator 9. API Well No. Natural Soda, Inc. NA 3a. Address 3200 RBC 31, Rifle, Co 81650 3b. Phone No. (include area code) 10. Field and Pool, or Exploratory 970-878-3674 Boies Bed 4. Location of Well (Report location clearly and in accordance with any State requirements.*) 11. Sec., T. R. M. or Blk. and Survey or Area At surface Latitude: 39.929275' N Longitude: 108.349264' W T1S R98W Section 26 At proposed prod. zone Latitude: 39.929110'N Longitude: 108.352367'W 14. Distance in miles and direction from nearest town or post ogice* 12. County or Parish ] 3. State 45 miles southwest of Meeker Colorado Rio Blanco Co 15. Distance from proposed* -750 feet 16. No. of acres in lease 17. Spacing Unit dedicated to this well location to nearest ?roperty or lease line, ft. Also to nearest drig. unit line, if any) 8222 6 18. Distance from proposed location* 19. Proposed Depth 20. BLMBIA Bond No. on file to nearest well, drilling, completed, applied for, on this lease, ft. - 500' north of 101-1-1 -2500 bgs 6149905 21. Elevations (Show whether DF, KDB, RT, GL, etc.) 22 Approximate date work will start* 23. Estimated duration 10/01/2009 Three Weeks 24. Attachments The following, completed in accordance with the requirements of Onshore Oil and Gas Order No. 1, 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. Signature Name (Printed/Typed) Date Bob Warneke 03/28/2009 Title Director of Manufacturing Approved by (Signature) Name (Prinied/Typed) Date Title Office 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 18 U.S.C. Section 1001 and Title 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 its jurisdiction. *(Instructions on page 2