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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St,Room 215 O L O R A D O <br /> D <br /> Denver,Colorado 80203 t V t 5 t p N o f <br /> RECLAMATION <br /> Phone:(303)866-3567 <br /> MINING <br /> NG <br /> FAX:(303)832-8106 <br /> SAFETY <br /> May 1,2014 John W.Hickenlooper <br /> Governor <br /> Mike King <br /> Christopher Varra Exeeuiive Director <br /> Varra Companies,Inc. Virginia Brannon <br /> 8120 Gage St. Director <br /> Frederick,CO 80516 <br /> Sea Horse Ranch West Gravel Pit,Permit M-2001-113,Annual Fee Invoice and Report Request <br /> I'l.FASF RE?Al)CARVI-111,LY- ACTION REi(UIRLD <br /> Please attach vour vi rittett Annual Report and Annual Report Mali to this form <br /> Under the terms of your NO!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 /> Pernut: M-2001-113 <br /> Operation Name: Sea Horse Ranch West Gravel Pit <br /> Anniversary Date: June 24,2014 <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 comment,-,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(303)866-3567 ext 8114, Thank you for your <br /> cooperation in this matter. <br /> If 1IIF ANNUAL I IjiSF!11NII I IAt S ARI N0I RF('L1\ 1:1)(IN 014 13t,.V(lRI. YOUR ANNI� I PSARY <br /> DA I I:. I111. 1:NFORC.`EA91-.NI P RC CLSS W11.1 AU'l OMA"f tC AH Y BF INIA'f1E:D. FNI(il;=, I 4FNl <br /> A( FIO,NS N°1AN` RFSUI'1 1N C'IVII III-.NAl I IFS ANIYOR Rl-A`r t('_A I YIN(W Yt"Ella Pl.10111 <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction-Durango Active and inactive Mines <br />