2012-07-11_REVISION - P2011026

• Permit No: P2011026
• IBM Index Class Name: REVISION
• Doc Date: 7/11/2012
• Doc Name: Release Request
• From: Chevron
• To: DRMS
• Type & Sequence: SL1
• Media Type: D
• Archive: No

Operator Statement
All portions of the Reclamation Plan as approved have been satisfied in accordance with the
Mineral Rules and Regulations of the Colorado Mined Land Reclamation Board and all
applicable requirements under the Colorado Mined Land Reclamation Act.
Signature of Agent
Michael DeBerry, Rockies Area Manager
Chevron U.S.A. Inc.
July 10, 2012
Date u+fr' /ii / 2-