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.A?7 * 0-0T <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT RE /VEST <br />c/ <br />Occidental Oil Shale, Inc. <br />M-1977-424 <br />Logan Wash <br />March 28, 2010 <br />'/APR 0 5 2010 <br />Yu Division cat RCc10716601A. <br />Mlnirg and SsfttY <br />$633.00 (Due on or before your anniversary date) <br />Garfield <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 your revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated may. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's may are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Ge.Or Q- Low,-Aue <br />Permittee Name: Occidental it Shale, Inc. <br />Address: C/o Glenn Springs Holdings, Inc. <br />5005 Lyndon B Johnson FWY Ste 1350 <br />Dallas, TX 75244-6150 <br />Phone Number: (859) 543-2100 12 J 1502- <br />Fax Number: (859) 543-2171 113 185- U O <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 formm ng with your written report and map. Annual Report instructions are <br />enclosed. <br />Officer, Owner, or Designee <br />U-1 -Z /10//0 <br />Date <br />M:\PERM TVv ASTERDOCUMENTS/M-AF-02.DOC