2010-10-01_REPORT - M1980047

• Permit No: M1980047
• IBM Index Class Name: REPORT
• Doc Date: 10/1/2010
• Doc Name: 112c Annual Fee Invoice and Report Request
• From: DRMS
• To: Exxon Mobil Corporation
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

v" STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203 COLORADO
Phone: [phone] DIVISION O F
RECLAMATION
FAX: [phone] MINING
October 1, 2010
&-SAFETY
Exxon Mobil Corporation
P.O. Box 2567 Bill Ritter, Jr.
Houston, TX 77252-2567 Governor
Mike King
MINED LAND RECLAMATION BOARD Executive Director
112 ANNUAL FEE INVOICE AND REPORT REQUEST Loretta E. Pirieda
Director
PLEASE READ CAREFULLY
Under the terms of your Reclamation Permit and Colorado Statutes, you must submit Annual Fees and Annual
Reports. You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility
release is granted. The Annual Fee is not a renewal fee. The fee and the report are for LAST YEARS mining
and reclamation season, and MUST be received even if your operation was in an inactive state. The fee and
report are due ON OR BEFORE your permit anniversary date shown below. The Annual Report and Fee
requirement is not met until we have received the following components: fee, report, and associated
map If no new disturbances or reclamation have occurred during the previous year and no new changes
to the previous year's map are necessary, then no new map is required, provided that the Operator shall map are necessary, then no new map is required, provided that the Operator shall
state this in the Annual this in the Annual Report.
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety
(the "Division") but your permit is not released by your anniversary date listed below, the annual fee MUST be
paid. If the permit is released before the anniversary date, then by Statute, you do not pay an annual fee or
submit an annual report for that year.
PLEASE NOTE: IF THE ANNUAL FEE, ANNUAL REPORT, AND A MAP ARE NOT RECEIVED ON
OR BEFORE YOUR ANNIVERSARY DATE, A FORMAL NOTICE OF VIOLATION AND A BOARD
ORDER TO PAY CIVIL PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE $$791.00 WILL
BE AUTOMATICALLY ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS SHALL BE
GRANTED TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS
STATE (C.R.S. 34-32.5-120 OR C.R.S. 34-32-120) UNTIL THE VIOLATION IS ABATED.
Division records indicate $791.00 fee is due /
Permit No.: M-1980-047
Operation Name: Colony Shale Oil Project
Anniversary Date: November 1, 2010
Total Fee Due: $791.00 (Due on or before your Anniversary Date)
If your records indicate different facts than those stated above please notify the Division.
Please return the enclosed annual report FORM, a MAP, and a CHECK or MONEY ORDER made payable to
the Division of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, Colorado 80203.
Thank you for your cooperation in this matter. If you have any questions, please feel free to contact Mary
Rodriguez at [phone] ext. 8138.
M:DAMNfMASTFRDOCLTWNTS/M-AF-02.DOC Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines