2015-02-27_REPORT - M1997098

• Permit No: M1997098
• IBM Index Class Name: REPORT
• Doc Date: 2/27/2015
• Doc Name: Annual Report Fee Map
• From: Flat Top Flagstone, LLC
• To: DRMS
• Email Name: THM
• 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]
February 2. 2015
Josie inlow
Flat Top Flagstone, LLC
2135 City Gate Ln., #420
Naperville, IL 60563
STATE OF COLORADO
Flag Creek Mine, Permit M -1997 -098, Annual Fee Invoice and Report Request
COLORADO
D IV IS I ON OF
RECLAMATION
MINING
SAFETY
John W Hickenlooper
Governor
Mike King
Executive Director
Virginia Brannon
Director
C/,' 'A"111AX AC "I'IWD EaE: I�EItC :Ib
l'Ic;.�x aii;:cs. No I I 1- C' @)' 'i Ann IlaI f�c roe t anal i�ulanalal l.ctloa i f ;,.: tdil thi , io: I,,
Under the terms ofyour NOI or Reclamation Permit and Colorado Statutes, you must 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 when we have received the rollowim,
components:
1. APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as required by rule
Ifyou 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 -1997 -098
Operation Name: Flag Creek Mine
Anniversary Date: March 30, 2015
"Total Fee Due: $791.00 (Due on or bel-orc your Anniversary Date)
Return the enclosed Annual 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. ifyour records indicate
these documents and 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 behm
or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If yuu
have any questions, please feel free to contact Michcile Ramirez (303) 866 -3567 ext 8114. Thank you for your
cooperation in this matter.
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Office of
Mined Land Reclamation
Denver • Grand Junction • Durango
Office of
Active and Inactive Mines