2014-04-29_REPORT - M1984039 ‎(2)‎

• Permit No: M1984039
• IBM Index Class Name: REPORT
• Doc Date: 4/29/2014
• Doc Name: Annual fee No report or map
• From: Wilbur F Benham
• To: DRMS
• Email Name: WHE
• Media Type: D
• Archive: No

Apr 10 2014 10:16 HP LRSERJET FAX 785 - 874 -4858 page 1
\'j \kE' STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
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March 3, 2014
APR 2 9 7.014
Wilbur F. Benham DIVISIONG F REC N
Wilbur F Benham AND MATIO
1007 Kennedy Dr., Apt. A SAFETY
Norton, KS 67654
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Toltec No 2, Permit M- 1984 -039, Annual Fee Invoice and Report Request
COLORADO
DIVISION Of
RECLAMATION
MINING
SAFETY
John W. Hlckenlooper
Governor
Mike King
ROSC dve Director
Loretta E. Panda
Director
PLEASE READ CAREFULLY — ACTION REQUIRED
Please attach your COMMLETED written Annual Report and Annual Report Map to this form
Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and
Annual Reports (including a map). You must pay the �kmnual 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:
L APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as reauired by rule
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the
"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 $259.00 fee is due for the following:
Permit: M- 1984 -039
Operation Name: Toltec No 2
Anniversary Date: April 25, 2014
Total Fee Due: $259.00 (Due on or before your Anniversary Date)
Return the enclosed Annual Report FORM, a 1UA2, 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 continents 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) - 866-3567 x8114. Thank you for your
cooperation in this matter.
IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY
DATE, THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATIED. ENFORCEMENT
ACTIONS MAY RESULT IN CIVIL PENALTIES AND /OR REVOCATION OF YOUR PERMIT.
`.'nice or Office of
RNned Land Reclamation Denver • Grand Junction • Durango Active and I nactive Mines