2014-08-18_REPORT - M1977081

• Permit No: M1977081
• IBM Index Class Name: REPORT
• Doc Date: 8/18/2014
• Doc Name: Annual fee, report & map
• From: City of Greeley
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St- Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
July 1, 2014
Jinn Hall
City of Greeley
1 100 10th Street, Suite 300
Greeley, CO 80631
STATE OF COLORADO
COLORADO
D IV IS I ON OF
RECLAMATION
M
j? (� jj�/ INING
DL5 C L5 L'! SAFETY
John W. Hickenieoper lI� u iT
Governor
CITY OF GREELEY L$ Mike King
WATER AND SEWER DEPARTMENT Executive Director
Virghla Brannon
Director
Greeley West Pit, Perinit M- 1977 -081, Annual Fee Invoice and Report Request
PLEASE READ CAREFULLY — ACTION REQUIRED
Please attach your COMPLETED written Annual Report and Annual Report Map to this form
Under the terms of your NO] or Reclamation Permit and Colorado Statutes, you trust 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 wheu we have received the following
components:
1. APPROPRIATE ANNUAL, FEE
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as required by rule
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 -081
Operation Name:
Greeley West Pit
Anniversary Date:
August I5, 2014
Total Fee Due:
$791.00 (Due on or before your Anniversary Date)
Return the enclosed Amival 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 andlor 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 (303) 866 -3567 ext 8114. Thank you for your
cooperation in this matter.
IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANTNIVERSARY
DATE, THE ENFORCEMENT PROCESS WILL AUl`OMATICALLY BE IMAT[ED. ENFORCEMENT
ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR REVOCATION OF YOUR PERMIT.
Office of Office of
Mined Land Reclamation Denver • Grand Junction - Durango Active and Inactive Mines