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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 D COLOR-ADO <br /> Denver Colorado 80203 U IV! S I O N o r <br /> Phone:(303)866.3567 RECLAMATION <br /> FAX:(303)832-8106 M I N I N G <br /> —Sr— <br /> SAFETY <br /> May 1,2014 John W.HickerAaoper <br /> Governor <br /> Mice King <br /> Scott Cowman Executive Drrector <br /> Peabody Sage Creek Mining,LLC Virginia Brannan <br /> P.O.Box 250 Director <br /> 36600 Routt County Road 27 <br /> Hayden,CO 81025-0250 <br /> Mesa Gravel Pit,Permit M-1982-036,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFtq,I,Y--ACTION REQUIRED <br /> Please attach►our COMPLETED written Annual Report and Annual Report Mall 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-1982-036 <br /> Operation Name: Mesa Gravel Pit <br /> Anniversary Date: June 22,2014 <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(303)866-3567 ext 8114. Thank you for your <br /> cooperation in this matter. <br /> IF THE ANNUAL FEE SUBMITTALS ARF NOT RFCEIVED ON OR BEFORE YOUR ANNIVERSARY <br /> DATE,THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATIED. ENFORCEMENT <br /> ACTIONS MAY RESULT IN CIVIL PENALTIES ANDrOR RF-VOCATION OF YOUR PERMIT. <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction•Durango Active and Inactive Mines <br />