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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 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX (363) 832 -8106 <br />I <br />January 2, 2015 <br />Mike Romaniuk <br />Fortune Revenue Silver Minesi� A e /ED <br />1900 Main Street, Unit 564 1 �/ <br />Ouray, CO 81427 JAN 2? 2015 <br />COLORADO <br />DIVISION or <br />RECLAMATION <br />MINING <br />SAFETY <br />s <br />DIVISIGi ;: - �„ AMATION, <br />& SAFETY - MINERALS <br />FEE J KPORT `�' � <br />John W. Hickenlooper <br />RECEIVED <br />Govembr <br />Mike King <br />Executive Director <br />JAN 2 2 2015 <br />Virginia Brannon <br />Director <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />Revenue Mine, Permit M- 2012 -032, Annual Fee Invoice and Report Request <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />Please attach your COMPLETED w itten Annual Report and Annual Report Map 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 (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 is due for the following: <br />Permit: 7-2012 -032 <br />Operation Name: Revenue Mine <br />Anniversary Date: <br />Total Fee Due: $1,150.00 (Due on or before your Anniversary Date) <br />Return the enclosed Annual Report FORM, a MAP, and <br />f your records indicate <br />these <br />been submitted, please <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 ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY <br />DATE, THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATIED. ENFORCEMENT <br />ACTIONS MAY RESULT IN CIVIL PENALTIES AND /OR REVOCATION OF YOUR PERMIT. <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />