2009-02-23_HYDROLOGY - P2008046

• Permit No: P2008046
• IBM Index Class Name: HYDROLOGY
• Doc Date: 2/23/2009
• Doc Name: Prospecting drill hole abondonment report
• From: American Shale Oil, LLC
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department ctt Natural Resources
1313 Sherm.n St., Room 215
O L O R A D O
Denver, Colorado 80203 C
D t v t s t o v o r
Phone: [phone] RECLAMATION
FAX: [phone] MINING

SAFETY
sill Ritter. Jr.
Governor
MINERAL PROSPECTING DRILL HOLE Harris D. Sherman
PERMANENT ABANDONMENT FINAL REPORT Executive Director
Ronald W. Cattany
Division Director
Natural Resource Trustee
P-ursuant to the terms of 34-32-113(5.5)(d) and (e) of the Act, all information provided in this report shall be protected
as confidential information by the Mined Land Reclamation Board and shall never be a matter of public record.
Prospect Site Name: A M S D C?,/ 5.air-- D 4-f) Prospect NOI No.: P- O 1? (4
Drill Hole I.D. No. LYE -0 f
Date Drilled: og Date Permanently Abandoned: ;?3 Jak
OPERATOR: (PROSPECTOR)
Name: A MS v , L L
Address: PO a Dx l y -7 J
City: F` , f l C St.: CO Zip: C7I 1 l
Telephone No.: 71;1 ) L, ;L 3 413 D. V
DRILLER:
Name: H e.t e-5 Y ? L;? 1 urJ./ ; t
Address: a 3(7 C, 14,14
City:G14r1/j ?(rtJL)!/?N St.: ct-> Zip:A Sy?
Telephone No.: 7 J) 2 q
LOCATION:
The following information is required for all prospecting drill holes:
N ? 1/4 of the 1? y) 1/4 of Section a , Township ? S Range
? z?
?P Prime Meridian, County.

If the area has not been surveyed, supply the Longitude West and Latitude North,
or attach a location map, preferably a USGS Quad.
The following additional information is required for artesian flowing holes:
Distances must be provided with an accuracy of ±200 feet (34-32-113(5.5)(d))
feet ( ) north ( ) south from the ( ) south ( ) north section line
feet ( ) east ( ) west from the ( ) west ( ) east section line
MOTE: In the case of closely spaced drill holes having similar geologic and hydrologic characteristics, the Operator
may, with the approval of the Division, submit a single consolidated final report including the location of all
drill holes and a description of abandonment technique. In such a case, complete one abandonment final
report form and attach a list of drill hole locations. If more space is needed to provide any of' the
information for this form, please attach separate sheets.
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n.tmed Land keciarnation Denver - Grand function - Durango Acrivi- mid Inactive Mines