2012-11-29_REPORT - P2008046

• Permit No: P2008046
• IBM Index Class Name: REPORT
• Doc Date: 11/29/2012
• Doc Name: Annual Fee/Report/Map
• From: AMSO
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: THM
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
November 5, 2012
Roger L. Day
American Shale Oil, LLC
110 E. 3rd Street, Suite 201
P O Box 1470
Rifle, CO 81650
STATE OF COLORADO
AMSO RD &D Project -Phase 1, Permit P- 2008 -046, Annual Fee Invoice and Report Request
1. ANNUAL FEE ($86)
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as required by rule
Permit: P- 2008 -046
Operation Name: AMSO RD &D Project -Phase 1
Anniversary Date: October 21, 2012
Mined Land Reclamation
COLORADO
DIVISION OF
RECLAMATION
MINING
— &—
SAFETY
John W. Hickenlooper
Govemor
Mike King
Executive Director
Loretta E. Pineda
Director
PLEASE READ CAREFULLY – ACTION REQUIRED
Please attach your COMPLETED w ritten Annual Report and Annual Report Map to this form
Under the terms of your NOI and Colorado Statutes, you must submit Annual Fees and Annual Reports (including a map). 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 Report are for LAST YEAR'S exploration and reclamation season, and MUST be paid even if your
operation was inactive.
The Annual Report and Fee requirement will be considered submitted when we have received the following components:
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety ( "Division ") but your
permit is not released by the anniversary date listed below, the Annual Fee MUST be paid. If the permit is released before the
anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit an Annual Report for that year. Division records
indicate the $86.00 fee is due for the following NOI(s) on or before the Anniversary Date:
Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: Division of Reclamation,
Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate these documents and fees have already
been submitted, please notify the Division.
If you have additional comments and/or information that should be provided to the Division, please attach it to this form along with
your written report and map. Annual Report instructions are enclosed. If you have any questions, please feel free to contact Jim
Dupler (303)866 -3567 x8119 or Christine Brookshire (303)866 -3567 x8132. Thank you for your cooperation in this matter.
11 '1IIE COMPLETE ANNUAL LLE TBMI I' I - \I S \RI NO RECEIVED ON OR BEFORE YO1 .ANNIVERSARY l).\ 11..
I'111 ENFORCEMENT PROCESS 11 ILI. AU LO \ -1 Y 111. NIA 1 IED. ENFORCEMEN1 AC' I IONS W11.1 RLSI 1 I IN
CIVII, PENAI l'IES AND POSSIBLE REVOCATION OI YOI IR PERMIT. PER RUL E 5.6(21 FAILURE 10 SI 1MI1 AN
ANNI JAL REPOR L FOR TWO CONSECLU I IVI. YEARS 511A1.1. CONLI Ll iTE EVIDENCE OF ABANDONMENT Or
PROSPECLIN(.
Office of Office of
Denver • Grand Junction • Durango Active and Inactive Mines