2014-10-22_REPORT - M2004008

• Permit No: M2004008
• IBM Index Class Name: Report
• Doc Date: 10/22/2014
• Doc Name: Annual Fee/Report/Map
• From: Joseph Curtis Harden
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: MAC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources
1313 Sherman St.,Room 215 COL VI S S ION O F
RA D
DI
Denver,Colorado 80203 RECLAMATION
Phone:[phone] MINING
FAX:[phone] —&—
SAFETY
September 2,2014 John W.Hickenlooper
Governor
Joseph C.Harden
Mike King
Joseph Curtis Harden Executive Director
P.O.Box 1207 Virginia
Idaho Springs,CO 80452 DirectorBrannon
The Mountain Mining Claim,Permit M-2004-008,Annual Fee Invoice and Report Request
PLEASE READ CAREFULLY—ACTION REQUIRED
Please attach your COMPLETED(written Annual Repo!jjnd Annual Report Map to this form
Under the terms of your NOI or Reclamation Permit and Colorado Statutes,you must submiCAAnnual Fees and
CAnnual Report(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 ) F,ATZ,>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 11. FAPPROPRIATE ANNUAL FU
2. CCOMPLETED ANNUAL REPORT-]
3. CASSOCIATED MAP as required by rule1
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-2004-008
Operation Name: The Mountain Ing Claim
Anniversary Date: October 28,201g4
Total Fee Due: $259.00(Due on or before your Anniversary Date)
Return the enclosed Annual Report FORM-a MAP and a.CH�EC,jK or MONEY ORDER made payable to: Division
of Recl� amation�Ms an and Safety_1313 Sherman St.,Room 215,Denver,CO 80203. If your records indicate
these documentd fees have already been submitted,please notify the Division.
If you have additional comments 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(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 ANNIVERSARY
DATE,THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATIED. 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