Laserfiche WebLink
STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Departrnerd of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />Mr. Laurens W. Leffingwe 1, Jr. <br />G Id Basin Mine, LLC <br />C O Simpson Estates, LLC <br />C N. La niinoStreet 6 b2uite 1232 <br />November 19, 2014 <br />Gold Basin Mine, Gold Basin Mine, LLC Annual Fee Invoice and Report Request <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />John W. Hickenlooper <br />Governor <br />Mike Kurg <br />Executive Director <br />Loretta E. Pineda <br />Director <br />PLEASE READ CAREFULLY— ACTION REQUIRED <br />Nca,-c attach your COMPLETED written Annual Report and Annual Report Man 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 />elf 4 <br />E211F,W19161 KI 5 7 130 11, .r r <br />If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the <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 $259.00 fee is due for the following: <br />Permit: M -1992 -045 <br />Operation Name: Gold Basin Mine <br />Anniversary Date: <br />Total Fee Due: $259.00 (Due on or before your Anniversary Date) <br />Retum the enclosed Annual ROM 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 Jim Dupler (303)866 -3567 x8119 or Christine Brookshire (303)866- <br />3567 x8132. Thank you for your cooperation in this matter. <br />11 1111 \NNI ! Al I I I S1 13M1 i f M ti ,\RI N(,l RI CI IVI'I)t tN 4W III I ORI Y(WR ANNIVERSARY <br />1) 11 "I . fill I NI OR( t_k1FN 1 1'R(k \V "11 1- A11 OMA l WWI I M 1,,I \111 I)_ I NFOR(TN11 Nl <br />A( I IOtiff'%1AY RI til :'I I- IN CIVII 1'I N \1 I "IFS \til) OR RI V, it ",A I I( P,. OI YOWR III RMI I _ <br />f,.M— 4 <br />