2014-04-10_REPORT - M1977020

• Permit No: M1977020
• IBM Index Class Name: REPORT
• Doc Date: 4/10/2014
• From: Keys Blue Haven LLC
• To: DRMS
• Annual Report Year: 2014
• Email Name: DMC
• Media Type: D
• Archive: No

Apr 10 14 05:57p William St. James
407 -644 -1143 p.2
L C Ur LAA Ut(AUU
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St.. Rocm 215 COLORADO
Denver, Colorado 80203 D i v t $ i a N Of
Phone: [phone]
FAX: [phone] RECLAMATION
MINING
—9 --
John W. Hickenlooper
February 3, 2014 Governor
Mike King
Executive Director
Bill St James Lorena E. Pineda
Kevs Blue Haven LLC Director
P.O. Box 948156
Maitland, FL 32794 -8156
Pit No 1, Permit M- 1977 -020, Annual Fee Invoice and Report Request
llEAS' .BEAD 4AR"E? LILLY — ACT's.' VIN REQUIRED,
F�1' r 1 'r. L Ren Anna I Rr.' ort a.r? ;] r' rmnar Roj,,ort Mop to 41 N f( --n
Under the terms of your NOI or Reclamation Pen-nit 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 mining 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:
1. APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUL REPORT
3• ASSOCIAIED MAP a rcquired
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 $791.00 fee is due for the following:
Permit:
M- 1977 -020
Operation Name:
Pit No I
Anniversary Date:
March 23, 2014
Total Fee Due:
$791.00 (Due on or before your 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 provide it below
or 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 Michelle Ramirez at (303) - 866 -367 x8114. Thank you for your
cooperation in this matter.
i? ""''HF ANNUAL s Dl SUSb;i :T! LS AK E NOT RECEIVED ONTT OR BE ORE VOUR ANNIVERSARY
DATE. THE EN I;ORCENIEN i PROCESS .SILL A L)TOMATICALLY BE IN IATIED. ENFORCEMENT
ACTIONS MAY RI -SU T :N CIV;L PENALTIES AND,'OR REVC,1CAT -'ON OF YOUR PERMIT.
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