2012-11-27_PERMIT FILE - C1981022A

• Permit No: C1981022A
• IBM Index Class Name: Permit File
• Doc Date: 11/27/2012
• Doc Name: Table of Contents
• Section_Exhibit Name: Exhibit 2.03-E4 Other Permits
• Media Type: D
• Archive: Yes

FORM State of Colorado 00101/
OLOAA00
2A Oil and Gas Conservation Commission
Document Number:
Rev 1120 Lincoln Street, Suite 801, Denver, Colorado 80203 Phone. [phone] Fax [phone]
04/01 O! L &
400147973
GAS
Oil and Gas Location Assessment
Date Received:
New Location Amend Existing Location Location #:
04/05/2011
Location ID:
Submit original plus one copy. This form is to be submitted to the COGCC prior to any ground disturbance activity
associated with oil and gas development operations. This Assessment may be approved as a standalone application
430107
or submitted as an informational report accompanying an Application for Permit -To- Drill, Form 2. Approval of this
Assessment will allow for the construction of the below specified location; however, it does not supersede any land
use rules applied by the local land use authority This form may serve as notice to land owners and other interested
Expiration Date:
parties, please see the COGCC web site at http: / /colorado.gov /cogcc/ for all accompanying information pertinent to
08130/2015
this Oil and Gas Location Assessment
This location assessment is included as part of a permit application.
1. CONSULTATION
This location is included in a Comprehensive Drilling Plan. CDP #
This location is in a sensitive wildlife habitat area.
This location is in a wildlife restricted surface occupancy area.
This location includes a Rule 306.d.(1)A.ii. variance request.
2. Operator
3. Contact Information
Operator Number: 10124
Name: Paul Jordan
Name: VESSELS COAL GAS INC
Phone: [phone]
Fax: [phone]
email: paul @np3lic.com
Address: 730 17TH ST - SUITE 340
City: DENVER State: CO Zip: 80202
4. Location Identification:
Name: Oxbow Mining LLC Number: 1
County: GUNNISON
QuarterQuarter: NESW Section: 11 Township: 13S Range: 90W Meridian: 6
Ground Elevation: 6185
Define a single point as a location reference for the facility location. This point should be used as the point of measurement in the
drawings to be submitted with this application. When the location is to be used as a well site then the point
shall be a well location.
Footage at surface: 2603 feet FSL , from North or South section line, and 2286 feet FWL , from East or West section line.
Latitude: 38.932080 Longitude: - 107.416450 PDOP Reading: 2.4 Date of Measurement: 02/15/2011
Instrument Operator's Name: Randy H. Wilmore
5. Facilities (Indicate the number of each type of oil and gas facility planned on location):
Special Purpose Pits: Drilling Pits: 0 Wells: 0 Production Pits: Dehydrator Units:
Condensate Tanks: Water Tanks: Separators: Electric Motors: Multi -Well Pits:
Gas or Diesel Motors: Cavity Pumps: LACT Unit: Pump Jacks: Pigging Station:
Electric Generators: Gas Pipeline: 0 Oil Pipeline Water Pipeline: Flare:
Gas Compressors: VOC Combustor: Oil Tanks: Fuel Tanks:
Other: Aboveground container to be used as drilling pit and cuttings collection
F-Construction:
Date Run: 813112012 Doc (#400147973] Loc Name: Oxbow Mining LLC 1 Page 1 of 6