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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 />STATE OF COLORADO <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />— St— <br />SAFETY <br />March 3, 2014 <br />John W Hickenlooper <br />Governor <br />Mike King <br />Michael DeJohn <br />RECEIVF:rl <br />Executive Director <br />Louisiana Land and Gravel Company, LLC <br />Loretta E Pineda <br />P.O. Box 8419 <br />Director <br />Clinton, LA 70722 <br />APR 20" ; <br />Division of itecldmahc- <br />Mining & Safety <br />Angie Pit, Permit M- 2000 -049, Annual Fee Invoice and Report Request <br />PLEASE READ CARF.Ftil.lA'– ACTION REQUIRED <br />Please attach Nour COJIPI.ETED written Annual Report and Annual Report Map to this form <br />Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and <br />Annual Reports (including 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. APPROPRIATE ANNUAL FEE <br />2. COMPLETED ANNUAL REPORT <br />3. ASSOCIATED MAP as required by rule <br />If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety <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 $791.00 fee is due for the following <br />Permit M -2000 -049 <br />Operation Name Angie Pit <br />Anniversary Date: April 9, 2014 <br />Total Fee Due $791.00 (Due on or before your Anniversary Date) <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 Michelle Ramirez at (303) -866 -3567 x8114 Thank you far your <br />cooperation in this matter <br />IF THL ANNUAL FEE SUBMITTALS ARE NOT RECFIVFD ON OR BFFORF YOUR ANNIVERSARY <br />DATE 7 HE ENFORCEMENT PROCESS WILL AUTOMATICAI LY BF INIATIFD ENFORCENILN I <br />ACTIONS MAN RESULT IN CIVIL PENALTIES AND OR RFVOC ATION OF YOUR PERMIT <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />