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---------------------------------- ——--------------------------------Temporary I’its, Emergency Pits and Below-gradc Tanks Permit Application Attachment Checklist: Subsection Hut 19,15.1 7.9 NMACInstructions: Each o) the foil,mint Hems must he attached lo ilw application. Please indicate. In a check marl, in the has. that the documents are alia, lie,I.0I lydrogcologic Report (Below grade Tanks) based upon die requirements of Paragraph (4) of Subsection B of Id 15 17,y NMACI 1 * lydrogeologic Data (Temporary and Emergency Pits) - based upon the requirements of Paragraph (7) of Subsection B of 19.15.17 900Sitin - r'tcrla Compliance Demonstrations - based upon the appropriate requirements of 19.15.17.10 NMACDesign Plan - based upon the appropriate requirements of 19.15.17.11 NMAC0 Operating and Maintenance Planbased upon the appropriate requirements of 19.15 17.12 NMAC0 ( losure Plan (Please complete Boxes 14 through IS. it applicable) based upon the appropriate requirements of Subsection C of19.15.17.9 NMAC and 19.15.17.13 NMACII Previously Approved Design (attach copy of design)[7"APIor Permit“—— --------------- loscd-loop Systems Permit Application Attachment Checklist: Subsection Bof 19.15 I7.9NMACInsinii lions: Eaeh a) the foil,min* Hems innsl he ana, lie,l to ilie application. Please indicate, hv a , heck mark in the has. dial llie do, aments are ana, hed.I I Oeologic and Hydrogeologic Data lonly lor on site closure)based upon the requirements of Paragraph (3) of Subsection B of 19.15.17.90 Siting Criteria Compliance Demonstrations (only lor on-site closure)II Design Planbased upon the appropriate requirements of 19.15.17.10 NMACbased upon the appropriate requirements of 19.15.17.11 NMAC0 Operating and Maintenance Plan - based upon the appropriate requirements of 19.15.17.12 NMAC0 C Insure Plan (Please complete Boxes 14 through 18. if applicable) - based u on the appropriate requirements of Subsection C of 19 15 17 9NMAC and 19.15.17.13 NMAC Previously Approved Design (attach copy of design)APIII Previously Approved Operating and Maintenance PlanAPIis”"Permanent Pits Permit Application ---- -—-----------------Subsection B of 19 15.17.9 NMACInstructions: Each of the following items must be attached to the application, riease indicate, by a check mark in the box. that the documents are attached.0 Hydrogeologic Report - based upon the requirements of Paragraph (I) of Subsection B of 19.15.17.9 NMACII Siting Criteria Compliance Demonstrations - based upon the appropriate requirements of 19 15.17.10 NMACII Climatological Factors Assessment0 Certified Engineering Design PlansEDCDbased upon the appropriate requirements of 19 15.17.11 NMACDike Protection and Structural Integrity Design: based upon the appropriate requirements of 19.15.17.11 NMACl-tak Detection Design - based upon the appropriate requirements of 19.15,17 11 NMAC0 Liner Specifications and Compatibility Assessment - based upon the appropriate requirements of 19.15,17.11 NMACl l Quality Control/Quality Assurance Construction and Installation PlanD Operating and Maintenance Plan - based upon the appropriate requirements of 19 15 17 12 NMAC0 Freeboard and Overtopping Prevention Plan - based upon the appropriate requirements of 19.15.17.11 NMAC1I Nuisance or Hazardous Odors, including H2S, Prevention PlanI Emergency Response PlanII Oil Field Waste Stream CharacterizationI Monitoring and Inspection Plan Erosion Control Plan Closure Plan14Proposed Closure:based upon the appropriate requirements of Subsection C of 19.15.17.9 NMAC and 19.15.17.13 NMAC "----- ---------------------------------19.15.17.13 NMACInstructions: Please complete the applicable boxes. Boxes Id through lb. in regards to the proposed closure plan.Type:0Drilling 0Workover 0Emergency0Cavitatiun0P&A0Pemianent Pit0Below-grade Tank 0Closed-loop SystemQ AlternativeProposed Closure Method:[x]Waste Excavation and Removal (Below-Grade Tank) Waste Removal iClosed-loop systems only)00 n-site Closure Method lonly for temporary pits and closed-loop systems I01" place Burial 0On -site Trench Alternative Closure Method (Exceptions must be submitted to the Santa Fe Environmental Bureau for consideration!Waste Excavation and Removal Closure Plan Checklist: t IQ 15.17 13 NMAC I Instructions: Each of the following Hems must be attached lo the closure plan.Please indicate, by a check mark in the box. that the documents are attached.Ixl Protocols and Procedures - based upon the appropriate requirements of 19 15 17.13 NMAC0 Confirmation Sampling Plan (if applicable) - based upon the appropriate requirements of Subsection F of 19.15,17 13 NMAC0 Disposal Facility Name and Permit Number (for liquids, drilling fluids and drill cuttings)0 Soil Backfill and Cover Design Specifications - based upon the appropriate requirements of Subsection H of 19 15.17 13 NMAC0 Re-vegetation Plan - based upon the appropriate requirements of Subsection I of 19.15.17.13 NMAC0 Site Reclamation Plan! . rm * -114based upon the appropriate requirements of Subsection G of 19.15 17 13 NMACOil fv jm«'u Di.iNi.niP.iiyof *

yj'aiLKi'jnwvaUllosui-e I or Closed-loop Systems That Utilize Above Ground Steel Tanks or Haul offBins Only: 11') s 7 13 O NMAC)1 U“"‘ «'« ""/ ««.»' or facilities for the disposal, ,jInp,nls: ,V,,7//„v flm.h und Jr','ll, unit,Xs. Use uinnhmeni if mm- Hum two lacthlic nr ft tfiimul.Disposal Facility Name:Disposal Facility Permit #:Dis x sal Facility Name:Disposal Facility Permit #:WiUanyol the proposed closed-loop system operations and associated activities occur on or in areas that will not Ik- used lor future service and operations'' Yes (If yes, please provide the informationQ No1*Required /or impacted areas which will not he used lot future service and operations:nIBackfill and ( over Design Specification - based upon the appropriate requirements of Subsection H of Id. 15 17.13 NMACI Re-vegetation I’lanEDbased upon the appropriate requirements of Subsection I of Id. 15.17.13 NMACL''‘,c Reclamation Planbased upon the appropraite requirements of Subsection G of 19 15.17.13 NMACSiliiiK Criteria (Regarding on-site closure methods only: 19.15.17 It) NMAChistrio lions: Utah sains criteria requires a demonstration of compliance in the closure plan. Resonmundali,,„s, .faereptable source,luuenul „re primdeil lieluii Rennes's remudinu . hanues tom'ronil from the appropriate district „ttu e«v be considered an cu e,,,,on whuh must be s,d,mined to ,he Sunn, Re Environmental Bureau oft,ator , misideriinon o'approval. Justifications and/or demonstrations at ,-quivalenty are required. Please refer 10 IV. IS. 17.10 NM,\C'or pnidam eGround water is less than 50 feet below the bottom of the buried waste. YesNM Office of the State Engineer -1 WATERS database search: USGS: Data obtained from nearby wellsGround water is between 50 and 100 feet below the bottom of the buried wasteNM Office of the State Engineer YesiWATERS database search; USGS; Data obtained from nearby wellsQno n/aGround water is more than 100 feel below the bottom of the buried waste.NM Office of the State Engineer NoQn/a YesiWATERS database search; USGS; Data obtained from nearby wellsQnoEEJn/aWithin 300 feet of a continuously flowing watercourse, or 200 feet of any other significant watercourse or lakebed. sinkhole, or playa lake Yes No Yes No YesQno(measured from the ordinary high-waier mark).Topographic map; Visual inspection (certification) of (he proposed siteWilhin 300 feet from a permanent residence, school, hospital, institution, or church in existence at the time of initial application,visual inspection (certification) of the proposed site; Aerial photo: satellite imageWithin 500 horizontal feet of a private, domestic fresh water well or spring that less than five households use for domestic or slock wateringpurposes, or within 1000 horizontal fee of any other fresh water well or spring, in existence at the time of the initial application.- NM Office of the State Engineer iWATERS database: Visual inspection (certification) of the proposed site Yes -No Yes NO Yes No Yes NoZOEDYes Within incorporated municipal boundaries or within a defined municipal fresh water well field covered under a municipal ordinance adoptedpursuant to NMSA 1978, Section 3-27-3. as amended.Written confirmation or verification from the municipality; Written approval obtained from the municipalityWithin 500 feet of a wetland- US Fish and Wildlife Wetland Identification map; Topographic map; Visual inspection (certification) of the proposed siteWithin the area overlying a subsurface mine.Written confiramtion or verification or map from the NM EMNRD-Mining and Mineral DivisionWithin an unstable areaEngineering measures incorporated into the design; NM Bureau of Geology & Mineral Resources: USGS; NM Geological Society;Topographic mapWithin a 100-year floodplain.- FEMA mapOn-Site C losure Plan Checklist: (19.15.17.13 NMAC) Instructions: Each of the following items must bee attached to the closure plan. Please indicateby a check mark in the box, that the documents are attached.II Siting Criteria Compliance Demonstrations - based upon the appropriate requirements of 19 15.17.10 NMACII Pf001 of Surface Owner Notice - based upon the appropriate requirements of Subsection F of 19.15.17.13 NMACI1 Construction/Design Plan of Burial Trench (if applicable) based upon the appropriate requirements of 19.15.17.11 NMACCD * onstruction/Design Plan ot Temporary Pit I for in place burial of a drying pad)f 1Ibased upon the appropriate requirements of 19 15.17 11 NMACProtocols and Procedures - based upon the appropriate requirements of 19.15.17.13 NMACI Confirmation Sampling Plan lit applicable) - based upon the appropriate requirements of Subsection F of 19.15.17.13 NMACED Waste Material Sampling Plan - based upon the appropriate requirements of Subsection F of 19 15 17 13 NMAC Disposal Facility Name and Permit Number (for liquids, drilling fluids and drill cuttings or in case on-site closure standards cannot be achieved)Soil Cover Design - based upon the appropriate requirements of Subsection FI of 19.15.17.13 NMAC Re-vegetation Plan - based upon the appropriate requirements of Subsection I of 19.15.17.13 NMACII Site Reclamation Plan - based upon the appropriate requirements of Subsection G of 19.15.17.13 NMACForm C 144-Jll l e"V C!:i! .Ill DtvPage4 .-1.5

Operator Application Certification:1 lu ll in' «vrtily dial die information .submitted willi this application is tme accurate and complete to the besl of my knowledge and belief.Name (Print): Crystal lafoya1Signature:Title:Regulatory TechnicianRate:! 2/22/2008rlfjSke mail address:Telephone:505-326-4837—20(H I) Approval:QPermit Application (including closure plan)[]Closure Plan (only)QoCD Conditions (see attachment) )CI Representative Signature:Approval Date:Title:OCD Permit Number:Closure Report (required within 60 days of closure completion): Suhs -o,.n K „f I') 1517 nnmaclions. Operators are required to obtain an approved closure plan prior 10 implementing any closure activities and submitting the clomre report The closurereportrequired ,0 be submitted ,0 the division within 00 dais of the completion of the closure activities. Please do no, complete this section of,heform until anapproved closure plan has been obtained and the closure activities have been completed.II Insure Completion Date:( Insure Method:n WaslL‘ Excavation and RemovalQon-site Closure MethodQAlternative Closure Method [Waste Removal (Closed-loop systems only) If different from approved plaa please explain.23Unsure Report Regarding Waste Removal Closure For Closed-loop Systems That Utilize Above Ground Steel Tanks or Haul-olT Bins OnlyInstructions: Please identify the facility or facilities for where the liquids, drilling fluids and drill cuttings were disposed. Use attachment ,f more than two facilitieswere utilized.Disposal Facility Name:Disposal Facility Permit Number:Disposal l aeility Name:Disposal Facility Permit Number:Were the closed-loop system operations and associated activities performed on or in areas thatII Yes (If yes. please demonstrate complilane to the items below) will notbe used for future service and opeartions? noRequired for impacted areas which will not be used for future sendee and operations:I1 Site Reclamation (I hoto Documentation) Soil Backfilling and Cover Installation Re-vegetation Application Rates and Seeding TechniqueClosure Report Attachment Checkli

District 1 State of New Mexico Form C-144 162-' n Fmnch Dr. Hobbs, nm 88240 Enerev Minerals and Natural Resources * Di :ment _:ion Division t. Francis Dr. JM 87505 District IV 1220 S. St. Francis Dr. Santa Fe. NM