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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 (303) 832 -8106 <br />March 2, 2015 <br />Randy Robins <br />Robins Construction, LLLP <br />P0 Box 212 <br />Antonito, CO 81120 <br />Valdez Gravel Mine, Permit M- 1991 -133, Annual Fee Invoice and Report Request <br />COLORADO <br />D I V 1 S 1 0 N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />John W Hiaenlooper <br />Governor <br />Mike King <br />Executive Girector <br />Virginia Brannon <br />Director <br />PLEASE: READ CAREFULLY- ACTION REQUIRED <br />Please attach Your COMPI E TH) written Annual Report and Annual Report ]flap to this form <br />Under the terms of your NOT 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 />I. 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 <br />C'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 $791.00 fee is due for the following: <br />Permit: M -1991 -133 <br />Operation Name: Valdez Gravel Mine <br />Anniversary Date: April 20, 2015 <br />Total Fee Due: $ 791.00 (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- SUBMI-I TALS ARE NOT RLCEIVED ON OR BEFORE YOUR ANNIVERSARY <br />DATE. INI' FVFORCLNIFNI PROCESS WILL AUFOMAI ICALLY BE INIATIED. ENFORCEMENT <br />ACTIONS MAY RESULT IN CIVII PFNAI TIES AND OR REVOCATION OF YOUR PERMI 1. <br />Office of - Office of <br />Mined land Reclamation Denver • Grand Junction • Durango Active and Inactive Mine< <br />