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DIVISIONIOF RECLAMATION, MINING AND SAFETY
<br />vepA4tment of Natural Resources
<br />1313 Sherman St., Room 215
<br />Denver, Colorado 80203
<br />Phone: (303) 866 -3567
<br />FAX: (303) 832 -8106
<br />January 2, 2015
<br />Kane Schneider
<br />Colorado Department of Transportation
<br />606 S. 9th St.
<br />Grand Junction, CO 81501
<br />STATE OF COLORADO
<br />COLORADO
<br />D IV IS I ON OF
<br />RECLAMATION
<br />PD ZZ 15Z 73 -7b
<br />MINING
<br />SAFETY
<br />I hembv c`'<iii; that i h3ve .mr-sivPr5' { };fl p,,lods or SEYVices listed
<br />hereo a; I r, +Yr „ tir: _!. rownted or
<br />_. _oij V. + i i , + .i wo - rendition
<br />John W. Hickenlooper
<br />and ev.i.,�i;, x a t ;i,. �Et s;:, s ; , a ,,r 'n; -1 0)e goods
<br />Governor
<br />and zan i; 4,s rs; > i:, : ; l rte l ,rn� »iar,cs,, ,„ iha, the services
<br />Were safc;1 act ry eN, *: >t a;: i*O Pd.
<br />Mike King
<br />Executive Director
<br />Dateoa- bvetl ;atEr�?- Lr::ii rE;ti:tn,'ic'G:'s:a1i+�, ")i: +J9/SerViC65
<br />,
<br />Virginia Brannon
<br />c_`t`►s°iole
<br />Director
<br />Cost Center Obj. / Suii. Function
<br />BLM Burnt Shale Pit, Permit M- 1985 -170, Annual Fee Invoice and Report Request
<br />PLEASE READ CAREFULLY — ACTION REQUIRED
<br />Please attach your COMPLETED written 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 $323.00 fee is due for the following:
<br />Permit: M -1985 -170
<br />Operation Name: BLM Burnt Shale Pit
<br />Anniversary Date: February 1, 2015
<br />Total Fee Due: $323.00 (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 ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY
<br />DATE, THE ENFORCEMENT PROCESS WILL BE AUTOMATICALLY INIATIED. ENFORCMENT
<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
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