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u <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources C O 1. O RA D O <br />1313 Sherman St., Room 215 t) l V l S l o N q F <br />RkCLAMATION <br />Denver, Colorado 60203 <br />MINING <br />Fhone: (303) 866 -3567 -- <br />FAX: (303) 832 -8106 SAFETY <br />Dec=bez 2, 2013 <br />John W. Hickenlooper <br />Governor <br />Stme Cooper Mlke King <br />Shane Cooper dba Dirt Guys LLC Executive DirectOr <br />949 Sk�aiul0nd. Loretta E. Plneda <br />Director <br />Cotopaxi, CO 81223 <br />Ilron Mountain Road Gravel Pit, Permit M-1994 -092, Annual Fee Invoice and Report Request <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />Please attach your CO L XTEP written Annual Re rt and Annual Re ort Ma to this form <br />Under the terms of your NOI or Rcelarnation Permit and Colorado Statutes, you must submit Annual Fees and <br />Annual Reports (ineludilag a map). You must pay the Annual Fee and submit, an Annual Report each year until <br />reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for <br />LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive. <br />The Annual Report and Fee requirement will be considered submitted when we have received the following <br />components: <br />1. APPROPRIA E AN V EE <br />2. COMPLETED ANNUAL REPORT <br />3. ASSOCIATED 1V[ as tre aired b r e <br />If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the <br />"Division!') but your permit is not released by the anniversary date listed below, the Annual Fee MUST be paid_ If <br />the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit <br />an Annual Report for that year. <br />)Division records indicate the $323.00 fee is due for the following: <br />Permit: M -1994 -092 <br />operation Name: Iron Mountain Road Gravel Pit <br />Anniversary Date: January 23, 2014 <br />Total Fee Due: $323.00 (Due on or before your Anniversary Date) <br />Retum the enclosed Annual rt Fol a M&, and a CFIECK or MON Y O R 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 imtructions are enclosed. If you <br />bave any questions, please feel free to cozotact Michelle Ramirez at 303 -866 -3567 x8114. Thank you for your <br />cooperation in this matter. <br />IT THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE OUR ANNIVERSARY <br />ACTIONS MAYFRESULT IN CIVIL ENALTIESAND /OR UVOCAT ON OF YOUR PERM TIvIENT <br />Office Or <br />Active and inactive Mines <br />Office of <br />Mined Land Reclamation <br />Denver - Grand Junction - Durango <br />