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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832 -8106 <br />August 1, 2013 <br />Mark Yevoli <br />Yevoli Cobblestone Inc <br />10001 Astoria Ct. <br />Lone Tree, CO 80124 <br />Yevoli Cobblestone Pit, Permit M- 2007 -003, Annual Fee Invoice and Report Request <br />COLORADO <br />D I V IS I ON Of <br />RECLAMATION <br />MINING <br />— St <br />SAFETY <br />John W. Hickenlooper <br />Governor <br />Mike King <br />Executive Director <br />Loretta E. Pineda <br />Director <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />Please attach vour COMPLETED written Annual Report and Annual Report N1ap to this form <br />Under 1 <br />Annual YEVOLI COBBLESTONE INC. 82- 504/1070 <br />reclam` 10001 ASTORIA COURT LAST ' LONE TREE, CO 80124 DATE J�M <br />The Ai <br />compol PAY TO V C <br />S THE ORDER OF <br />2. <br />1. <br />3. ww964stbank.com <br />VTBAW <br />(Bog) 0) 964- 3�t�}4 / <br />If you t MEMO M —��"` `(, to � --- --� <br />( "Divis - - - - - -- -- - -- <br />the pen / <br />an Ann — <br />Division records indicate the $323.00 fee is due for the following: <br />Permit: M- 2007 -003 <br />Operation Name: Yevoli Cobblestone Pit <br />Anniversary Date: September 6, 2013 <br />Total Fee Due: $323.00 (Due on or before your Anniversary Date) <br />$ 3Z33: W" <br />LJ EEE= <br />Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: Division <br />of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate <br />these documents and fees have already been submitted, please notify the Division. <br />If you have additional comments and /or information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you <br />have any questions, please feel free to contact Jim Dupler (303)866 -3567 x8119 or Christine Brookshire (303)866- <br />3567 x8132. Thank you for your cooperation in this matter. <br />IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY. <br />DATE, THE ENFORCEMENT PROCESS WILL, AUTOMATICALLY BE INIATIED. ENFORCEMENT <br />ACTIONS MAY RESULT IN CIVII- PENALTIES AND /OR REVOCATION OF YOUR PERMIT. <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />