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;SON OF RECLAMATION, <br />Atnent of Natural Resources <br />,113 Sherman SL, Room 215 <br />,,tenver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: 30 832-8106 <br />February 3, 2014 <br />MINING AND SAFEn <br />Bill St. James <br />Keys Blue Haven LLC <br />P.O. Box 948156 <br />Maitland, FL 32794 -8156 <br />REc, <br />aw APR 1 & �014 <br />13F � <br />SAFFr�rOrr <br />Yi-- n vCj i--ee_ <br />Pit No 1, Permit M-1977-020, Annual Fee Invoice and Report Request <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />—F_ — <br />John W. Hickenlooper <br />Govemor <br />Mike King <br />Executive Director <br />Loretta E. Pineda <br />Director <br />PLEASE READ CAREFULLY – ACTION REQUIRED <br />Please attach your COMPLETER 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 />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-1977-020 <br />Operation Name: Pit No 1 <br />Anniversary Date: March 23, 2014 <br />Total Fee Due. $791.00 (Due on or before your Anniversary Date) <br />Return the enclosed Annual Kurt FORM_ a MAE 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 for your <br />cooperation in this matter. <br />IF TIME 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 CIVIL PENALTIES AND /OR REVOCATION OF YOUR PERMIT. <br />Chffir» of O im of <br />